The nurse is assessing a client's respiratory status. Indicators of normal respiratory status include:(Select all that apply) Standard Text: Select all that apply
1. Eupnea
2. Use of external intercostal muscles
3. Suprasternal retraction
4. Orthopnea
5. Apnea
1,2
Rationale: Eupnea describes normal adult respirations, 12-24 rpm depending on baseline
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During discharge instructions for a patient with a history of falling, the patient begins to cry and says, "It sounds like you don't trust me to be alone anymore and you want me to redo my whole house." The nurse's best response would be:
1. "Your family doesn't think you should live by yourself since you fall so much." 2. "You won't have to redo your house if someone can come and live with you." 3. "You may need to go to a long-term care facility." 4. "Can you tell me more about how you are feeling?"
A mother of a young child enters the kitchen and finds the child on the floor. There is a bottle of cleanser next to the child and particles of the substance around the child's mouth. The parent's first action should be to:
1. Call the Poison Control unit 2. Provide ipecac syrup 3. Check the child's airway and breathing 4. Remove the particles of cleanser from the mouth
An individual who pursues neither his or her concerns nor another's concerns is using which conflict management behavior?
a. Accommodating b. Collaborating c. Avoiding d. Compromising
A client taking spironolactone (Aldactone) has been taught about the therapy. Which menu selection indicates that the client understands teaching related to this medication?
a. Apricots b. Bananas c. Fish d. Strawberries