The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, which of the following actions must the nurse avoid?
A) Providing 100% oxygen
B) Visualizing the throat
C) Making the child sit up
D) Auscultating for lung sounds
B
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A client with diabetes has a blood glucose level of 480 mg/dL and is experiencing weakness and confusion. Which information would be helpful to identify the reason for the client's symptoms?
a. Drank a bottle of beer last night before bed b. Skipped breakfast because of being late for work c. Takes insulin as prescribed and follows a healthy diet d. Has not taken insulin for the past four days because of a flu-like illness
The nurse is working with a client who needs to lower his sodium intake, but he doesn't like to cook so he eats out a lot. He has been trying to order wisely; however, the nurse notes he should change which of the following habits?
A) Requesting no added salt C) Choosing fresh fruit for dessert B) Choosing grilled versus fried D) Enjoying soup for an appetizer
Ordered: ranitidine HCl syrup 75 mg PO daily. Available: a. What is the trade name of this medication? b. What is the concentration?How many milliliters will the nurse prepare?
c. Estimated dose: d. DA equation: e. Evaluation: Shade in the medicine cup to the nearest measurable dose.
A patient with dementia no longer recognizes family members. The family asks how long it will be before their family member recognizes them when they visit. What is the nurse's best reply?
a. "Your family member will never again be able to identify you." b. "I think that is a question the health care provider should answer." c. "One never knows. Consciousness fluctuates in persons with dementia." d. "It is disappointing when someone you love no longer recognizes you."