The nurse is caring for a postoperative client who returned from surgery a few hours ago. The client is currently demonstrating shallow, slow breathing, with audible adventitious sounds
Which is the most likely cause for the client's clinical manifestations?
1. Low blood sugar
2. Pneumonia
3. Asthma
4. Deep narcotic sedation
Correct Answer: 4
Clients who receive narcotic analgesics can have reduced respiratory effort and ineffective airway clearance, which would be demonstrated by shallow, slow breathing and adventitious breath sounds caused by air passing over the secretions. Pneumonia, low blood sugar, or asthma would be more likely to result in rapid respirations.
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While an adolescent wears a body brace for scoliosis, you would teach her
A) to continue with age-appropriate activities. B) to stand absolutely still whenever she is out of the brace. C) to wear the brace a maximum of 20 hours each day. D) that secondary sex changes will stop until the brace is removed.
The nurse evaluates the therapeutic effect of the drug sodium polystyrene sulfonate (Kayexalate) in a client in chronic renal failure by assessing whether which of the following is present?
1. Decreased serum potassium 2. Increased stool excretion 3. Decreased serum sodium 4. Increased urine-specific gravity
The nurse notes that the 43-year-old male client has an abrasion on his upper right thigh that he received 2 days ago when he was involved in a bicycle accident. The abrasion is red, swollen, warm, and throbbing
The nurse knows that the wound shows signs of being: 1. Infected 2. In the inflammatory phase of healing 3. In the proliferative phase of healing 4. In the remodeling phase of healing
Cough and cold remedies can
A. cure the common cold 1 B. reduce the length of time the common cold is in one's system C. alleviate the symptoms experienced with the common cold D. both B and C