Which of the following injuries occurs most frequently in children under 1 year of age?
a. Occluded airway
b. Burns
c. Poisoning
d. Falls
ANS: A
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The nurse observes an older patient crying, tensed, and lying rigidly in bed. What action should the nurse take first?
A) Reposition the patient in bed B) Perform a systematic pain assessment C) Ask the patient if she is experiencing a problem D) Prepare a dose of breakthrough medication for the patient.
Which observation indicates to you that the client is correctly using the technique of diaphragmatic breathing?
A. Abdomen rises on inhalation and remains elevated during exhalation B. Abdomen falls on inhalation and remains low during exhalation C. Abdomen falls on inhalation and rises on exhalation D. Abdomen rises on inhalation and falls on exhalation
Which of the following nursing documentation best reflects the observable assessment of skin breakdown on the heel of an African American client?
1. "2-cm area of scaly, dry skin located on the client's right heel." 2. "2-cm area of nonblanching erythema located on the client's right heel." 3. "2-cm area purplish blue in color surrounded by lighter-colored skin located on right heel." 4. "2-cm area of blanching erythema located on the client's right heel; entire foot warm to the touch."
You're caring for Lewis, a 67 y.o. patient with liver cirrhosis who developed ascites and requires paracentesis. Relief of which symptom indicated that the paracentesis was effective?
A. Pruritus B. Dyspnea C. Jaundice D. Peripheral Neuropathy