The nurse assesses the following lung sounds in a client. What is the nurse's best action? (Click the media button to hear the audio clip.)
a. Administer a rescue inhaler.
b. Administer oxygen.
c. Assess vital signs.
d. Elevate the client's head.
A
Stridor is the sound heard. This sound indicates severe airway constriction. The nurse must ad-minister a bronchodilator to get air into the lungs. Administering oxygen will not help until the client's airways are open.
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The nurse teaches a class on the systems that control blood pressure and includes what systems in the discussion? (Select all that apply.)
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Biopsy of a skin lesion reveals anaplastic changes. The nurse would prepare this patient for which intervention?
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When assessing a client with delusional disorder, the nurse would most likely expect to find impairment in which of the following? Select all that apply
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