A patient is admitted with an exacerbation of asthma. Which factor places the patient at highest risk for sensory overload?
1) Administering albuterol (a central nervous stimulate) every as needed
2) Administering a tranquilizer intravenously every 2 hours as prescribed
3) Delivering oxygen at 6 L/min via nasal cannula
4) Maintaining complete bed rest in a quiet, dimly lit room
ANS: 1
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A nurse accidentally spills some powdered antineoplastic drugs on the floor when removing them from the storage cabinet. Which of the following actions should the nurse take to clear the drug spill?
A) Display a warning sign in the spill area. B) Take action to ensure the powder is not spread. C) Use a vacuum cleaner to clear the spill. D) Wash the spill area with normal saline.
A woman who is 4 months pregnant asks what can be done to alleviate frequent heart palpitations and leg cramps. Which nursing diagnosis would be applicable to the patient at this time?
A) Pain related to severe complications of pregnancy B) Health-seeking behaviors related to ways to relieve discomforts of pregnancy C) Risk for ineffective breathing pattern related to pressure of the growing uterus D) Impaired urinary elimination related to inability to excrete creatine from the muscles
A client with diabetes and heart failure can expect better outcomes from heart failure in which of the following situations?
1. Hemoglobin A1C is 5.8%. 2. Fingerstick blood sugar is 155. 3. Hemoglobin is 14 g/dl. 4. Creatinine is 2.2 mg/dl.
The caregivers of a child report that their child had a cold and complained of a sore throat
When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse should recognize these symptoms as being consistent with which disorder? A) Spasmodic laryngitis B) Tonsillitis C) Laryngotracheobronchitis D) Epiglottitis