An older adult is admitted to the emergency department with respiratory symptoms. Which client symptom requires the nurse to intervene immediately?
a. Confusion
b. Scattered wheezing
c. Crackles
d. Flushed cheeks
A
Confusion in an older adult can signify hypoxia. If the nurse waited to intervene until the older adult showed more traditional symptoms of pneumonia, the client may become critically ill. The other manifestations also require intervention but not as the priority.
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To prevent fetal infection, a cesarean birth is required for the pregnant client who is infected with which of these organisms at the time of delivery?
a. cytomegalovirus c. rubella b. herpes genitalis d. toxoplasmosis
What is being administered when a nurse hangs an IV bag with Na+, K+, and Cl??
a. Nutrients b. Electrolytes c. Enzymes d. Vitamins
A client with heart failure informs the nurse he has not had a bowel movement in 2 days. Why would it be important for the nurse to obtain an order for a stool softener?
A) Straining causes the Valsalva maneuver, which can cause dangerous effects. B) The client should not develop hemorrhoids. C) The client can develop a rectal fissure, which will increase pain levels. D) The client should have a bowel movement every day to avoid development of an intestinal obstruction.
A patient at 36 weeks gestation is undergoing a non–stress (NST) test
The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings? a. NST positive, nonreassuring b. NST negative, reassuring c. NST reactive, reassuring d. NST nonreactive, nonreassuring