The nurse assesses respirations of a patient demonstrating pursed-lip breathing, flared nostrils, and retractions. How will the nurse describe these respirations?
a. Tachypnea
b. Stertorous
c. Dyspnea
d. Cheyne-Stokes
ANS: C
The patient who is using ancillary muscles to breathe is exhibiting dyspnea.
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The nursing student is teaching a class to the other nursing students regarding theories of client care. The student is explaining the importance of maintaining client safety when delivering client care
Which of the following theories is the student addressing? 1. Erikson's eight stages of development 2. Leininger's theory of cultural diversity 3. Maslow's hierarchy of needs 4. Nightingale's environment theory
A client is diagnosed with osteomyelitis. This is most commonly caused by which of the following?
A) Proteus vulgaris B) Psuedomonas aeruginosa C) Escherichia coli D) Staphylococcus aureus
A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done for what purpose?
A) To decrease cerebral edema B) To prevent seizure activity that is common following a TIA C) To remove atherosclerotic plaques blocking cerebral flow D) To determine the cause of the TIA
When a nonreassuring pattern of the fetal heart rate is noted and the client is lying on her left side, which nursing action is indicated?
a. Lower the head of the bed. b. Place a wedge under the left hip. c. Change her position to the right side. d. Place the mother in Trendelenburg position.