What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?

a. Fine crackles
b. Coarse rhonchi
c. Expiratory wheezing
d. Decreased breath sounds at lung bases


ANS: C
The child experiencing an acute asthma attack wheezes as air moves in and out of the narrowed airways. The expiratory wheeze is most pronounced.

Nursing

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A hospice nurse is making the initial home visit to a patient who just returned home after a lengthy hospitalization. What action by the nurse is most appropriate to help the family continue to function?

A. Assess the degree of comfort in family caregiving. B. Ensure the family understands the hospice concept. C. Provide information about available hospice services. D. Refer the family to a community counseling center.

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A young child is experiencing pain secondary to surgical repair of a fractured femur. The child is on supplemental oxygen and is breathing spontaneously and crying

The nurse wishes to administer the most effective pain relief with the least risk of adverse effects. Which combination of relief measures is most likely to meet this goal? A) Antipsychotic medication and sedative B) Opioid and distraction strategies C) Sedative and opioid D) Muscle relaxant and massage

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1.08 + 31.2 = _____

a. 32.28 b. 32.082 c. 32.1 d. 32.4

Nursing

You are a nurse manager on the 11 p.m. to 7 a.m. shift. You periodically make rounds, observing and checking on your staff and residents. You do this on a regular basis throughout your shift because:

1. your facility requires you to do so. 2. the policy manual states this as a regulation. 3. you are responsible for the behavior of those you manage. 4. state law requires this action.

Nursing