A patient has smoked most of his life and has labored respirations. He is experiencing
A) Dyspnea
B) Fremitus
C) Stridor
D) Wheeze
Ans: A
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A nurse had 5 years of experience in a community health clinic when she accepted a position in occupational health. Which of the following best explains how the nurse will know what to do in this new setting?
a. On the basis of past experience, she can focus on relevant aspects and adapt protocols as deemed necessary b. By focusing immediately on critical aspects and determining priorities in the setting c. By following company procedures and relying on assessment checklists and clinical protocols d. By using extensive previous experience, the nurse can grasp situations quickly and initiate appropriate action(s)
B and J both have Alzheimer's disease. B walks up behind J in the hall and shouts, "Move along, you're blocking the road. I'll take a stick to you."
J turns around, shakes his fist, and shouts, "I know what you're up to; you're trying to steal my car.". The best action for the nurse to take would be to: a. Reinforce reality by telling B that J can walk in the hall, and telling J that B is not trying to steal his car. b. Ask the medication nurse to give both patients an as-needed dose of neuroleptic medication. c. Separate and distract them by directing one to go to the day room and taking the other to the activities area. d. Step between them, saying "Gentlemen, please quiet down. We do not permit violence here.".
A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)? Select all that apply
A) Chills B) Fever C) Hypotension D) Lethargy E) Muscle aches
What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?
a. Discourage the parents from making a last visit with the infant. b. Make a follow-up home visit to the parents as soon as possible after the child's death. c. Explain how SIDS could have been predicted and prevented. d. Interview the parents in depth concerning the circumstances surrounding the child's death.