What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
a. Offer plenty of fluids, particularly carbonated beverages.
b. Place the child in a humidified cool mist tent with oxygen.
c. Administer sedatives as ordered to decrease anxiety.
d. Position the child with arms resting on the overbed table.
ANS: D
This position is comfortable and allows maximum use of the accessory muscles for breathing. Sedatives would mask symptoms of increasing air hunger. Carbonated beverages are contraindicated in persons with dyspnea.
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A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination B) Muscle twitching C) Hair loss D) Increased thirst
Your client has a large surgical wound and complains of feeling self-conscious and apprehensive about appearance. Which of the following nursing diagnoses would be most appropriate?
1. Impaired tissue integrity 2. Body image disturbance 3. Hopelessness 4. Impaired skin integrity
The nurse counsels that when selecting a baby spoon the parents should select a spoon that:
a. Has a long handle b. Has a wide body c. Has a deep body d. Is made of sterling silver or stainless steel
When working with a multiproblem family, which of the following goals should the nurse approach first?
a. The goal that best matches the agency's policies and procedures b. The goal that can be achieved "behind the scenes" without any effort from the family c. The goal easiest for the nurse to complete because of her or his expertise d. The goal that the family believes is the most important