The client with a dressing covering the neck is experiencing some respiratory difficulty. What is the nurse's best first action?
A. Administer oxygen.
B. Loosen the dressing.
C. Notify the emergency team.
D. Document the observation as the only action.
B
Respiratory difficulty can arise from external pressure. The first action in this situation would be to loosen the dressing and then reassess the client's respiratory status.
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A person must be able to make a choice, understand important information, appreciate his or her own situation, and apply reasoning to be considered
1. complete. 2. competent. 3. confident. 4. self-determined.
The nurse on a medical–surgical unit anticipates that clients who would benefit from the administration of either parenteral or enteral nutrition include:
Standard Text: Select all that apply. 1. a client with HIV who is vomiting. 2. a client with IBS who is suffering from malnutrition. 3. a client with minor burns who is preparing for discharge. 4. a client who is status postappendectomy without complications. 5. an anorexic client who is refusing to eat by mouth.
An older patient, recovering from surgery, is prescribed a soft diet. Which age-related change does this type of diet support?
A. Gall bladder insufficiency B. Lactose intolerance C. Decline in gastric motility D. Reduced intestinal absorption
A parent tells the nurse about having difficulty disciplining a 5-year-old child. What characteristic does the nurse teach this parent to improve the discipline of this child?
a. Children at this age are incapable of delaying gratification. b. At age 5 years, children are not interested in attaining rights and privileges of individuality. c. Five-year-olds should demonstrate basic social skills and respond to others' expectations. d. At age 5 years, children use highly inappropriate methods of expressing frustration.