A 12-year-old boy presents with marked respiratory distress; hot, moist skin; and anxiety. He is sitting with his chin thrust forward and has inspiratory stridor. According to the child's grandmother, his symptoms began suddenly about 30 minutes ago. You should be MOST suspicious for:
A) acute viral croup.
B) bacterial epiglottitis.
C) subglottic narrowing.
D) laryngotracheobronchitis.
Answer: B) bacterial epiglottitis.
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On the patient's return to the medical-surgical unit, the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:
a. 30 seconds. b. 1 minute. c. 2 minutes. d. 3 minutes.
The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis. Place in order the autonomic events. (Separate letters by a comma and space as follows: A, B, C, D)
a. Parasympathetic nervous system dominates b. Extremely stressful or frightening event c. Blood pressure, heart rate, and adrenaline output decrease d. Sympathetic nervous system dominates e. Heart rate and blood pressure rise, secretion of adrenaline
A major challenge to full autonomy for nurses is/are
a. state nurse practice acts. b. lobbyists for the American Medical Association (AMA) and hospital associations. c. the status of nurses in hospital hierarchy. d. the view of physicians as the gatekeepers in health care.
When providing care to patients at risk for ARDS, nurses use evidence-based practice whenever they
a. suction a patient at high risk for develop-ing ARDS every 2 hours. b. suction a patient at high risk for develop-ing ARDS whenever crackles are auscul-tated. c. turn a patient at risk for developing ARDS every 2 hours. d. turn a patient at risk for developing ARDS every 5 minutes.