Your client has third-degree burns over much of the body. As you reassess, you note ascites in the client's abdomen and are aware that:
1. the client must have liver compromise because ascites is liver-related.
2. the ascites must be misplaced edema.
3. this is a normal response.
4. the client has third spacing.
ANS: 4
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The pediatric nurse explains to the parents of a 1-year-old patient with pneumonia that the differences between the adult's and child's respiratory system affect function and subsequent respiratory conditions. Which difference does the nurse include in the discussion with the patient's parents?
A. Infants are obligate nose breathers until 6 months of age. B. The epiglottis in the child under 8 is shorter and more rigid. C. The larynx and the glottis are higher in the younger child's neck. D. In the child, there are more functional muscles in the neck and less soft tissue.
A 27-year-old man is admitted to the emergency department (ED) after a serious motorcycle accident
The patient has a head injury, abrasions covering the left side of his body, a broken left femur, and internal injuries that are not fully assessed at this time. He is transferred from the ED to the intensive care unit (ICU). The nurse who is going to care for this patient in the ICU knows that a priority responsibility in regard to drug therapy is what? A) Support vital functions B) Continue curative treatment C) Institute life-saving treatment D) Monitor patient's response
An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response
a. "You're right. Federal law requires me to keep that information private." b. "Those kinds of thoughts will make your hospitalization longer." c. "You really should share this thought with your psychiatrist." d. "I am obligated to that share information with the treatment team."
The nurse on the pediatric unit is assigned to care for four children. One of the children is 18 months old and the rest are 3, 4, and 4-1/2 years old
The youngest is in for observation, the 3-year-old has a cardiac problem, and the two older children are in for tests. After a report the nurse takes the children's vital signs. The nurse would need to take the pulses in which of the following ways? a. radial pulse on all the children b. radial on the two older children and apical on the 18-month-old and the child with a cardiac problem c. apical on all children under 5 d. apical only on the child with a cardiac problem