A child who is experiencing a moderate asthma attack would MOST likely present with:

A) a markedly prolonged expiratory phase.
B) wheezing during inspiration and expiration.
C) an inability to speak in complete sentences.
D) an oxygen saturation between 80% and 90%


Answer: B) wheezing during inspiration and expiration.

Nursing

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The nurse is explaining to the student nurses the different heart sounds that are assessed during the cardiac assessment. Which statement made by a student indicates understanding of the expected normal heart sounds?

1. "If I hear the S1 as lub and S2 as dub, then that is normal and means that the valves are working." 2. " If I hear a 'lub-dub-ee' it means the client has a ventricular gallop." 3. "If I hear 'dee-lub-dub' then the client may have an atrial gallop. This occurs near the very end of diastole just before S1 and creates the sound." 4. "If I hear the 'dee-lub-dub' sound in an older adult, then I should know that is considered normal for the older client."

Nursing

Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:

1. Topical antipruritics 2. Oral corticosteroids for 2 to 3 weeks 3. Thickly applied topical intermediate-dose corticosteroids 4. Isolation of the patient to prevent spread of the dermatitis

Nursing

A diagnostic test of the amniotic fluid to determine whether the fetus is likely to develop respiratory distress is:

a. Lecithin/sphingomyelin ratio (L/S ratio) b. Alpha-fetoprotein (AFP) c. Rh isoimmunization d. Triple marker screen

Nursing

A 45-year-old male client who is addicted to barbiturates reduces his intake of the drug. For which of the following conditions is the client at risk?

A) Hallucinations B) Tremors C) Overdose D) Alcohol abuse

Nursing