A client's baseline vital signs are temperature 98° F oral, pulse 74 beats/min, respiratory rate 18 breaths/min, and blood pressure 124/76 mm Hg. The client suddenly spikes a fever of 103° F. Which respiratory rate would the nurse anticipate as part of the body's response to the change in client status?

A. 12 breaths/min
B. 16 breaths/min
C. 18 breaths/min
D. 22 breaths/min


Ans: D. 22 breaths/min

Nursing

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A 31-year-old female has been recently diagnosed with type 2 diabetes mellitus and is attending a diabetes education class. Which of the following statements by the woman demonstrates an accurate understanding of her health problem?

A) "I'll have to control my blood sugars, my blood pressure, and my cholesterol in order to make sure I don't develop sight problems." B) "I'm grieving the fact that I won't be able to get pregnant without causing permanent damage to my vision." C) "It's surprising that sugar in my blood can accumulate on the lens of my eye and cause a loss of sight." D) "I want to avoid going through the treatments for sight restoration that I would need if my diabetes causes damage to my vision."

Nursing

The patient is ordered Heparin 5000 units Sub-Q daily. Is this order correct?

A. There is no problem with this order. B. Sub-Q is an error prone abbreviation. C. Route is incorrect for dosage form. D. Dose is incorrect.

Nursing

A nurse is caring for an infant with neonatal abstinence syndrome. Which manifestation should the nurse expect to assess?

a. Weight gain b. Respiratory acidosis c. High-pitched persistent cry d. Hypotonus

Nursing

Which screening tool should the nurse use to screen a pediatric client for esotropia?

1. Examine the eye with an otoscope. 2. Check for the "red reflex" in the eyes. 3. Perform the cover–uncover test. 4. Use a tonometer to evaluate the eyes.

Nursing