Please help me to choose the letters with the CORRECT answers. 1. A 3-year old was brought to the hospital due to dyspnea. Upon assessment the nurse notes for crackles, difficulty verbalizing, sternal retractions and respiratory rate of 40 cycles per minute. The nurse analyzes the collected data and identified the priority nursing diagnosis: A. Impaired gas exchange B. Ineffective breathing pattern C. Airway clearance, ineffective D. Risk for aspiration
Please help me to choose the letters with the CORRECT answers.
1. A 3-year old was brought to the hospital due to dyspnea. Upon assessment the nurse notes for crackles, difficulty verbalizing, sternal retractions and respiratory rate of 40 cycles per minute. The nurse analyzes the collected data and identified the priority nursing diagnosis:
A. Impaired gas exchange
B. Ineffective breathing pattern
C. Airway clearance, ineffective
D. Risk for aspiration
2. A person with Sickle Cell Trait would:
A. Be advised to avoid fluid loss and dehydration.
B. Be proacted from crisis under ordinary circumstances.
C. Have chronic anemia.
D. Experience hemolytic jaundice.
3. On initial assessment of the child with asthma, the nurse would observe for th following EXCEPT:
A. Shortness of breath
B. Rales
C. Absence of wheezing
D. Loose cough
4. The mother asks the nurse what measures she can take to help prevent her child's asthma attacks. Which of the following suggestions by the nurse would be most appropriate?
A. Cover the child's mattress with a sheepskin pad
B. Use an aerosol spray disinfectant in the child's bedroom
C. Dust and vacuum the entire house frequently
D.Have the child sleep with the window open
4. Flow meter because of several other conditions are associated with undescended testes, the nurse should also assess the infant for:
A. A reducible or nonreducible bulging in the inguinal area ~
B. An outpouching low on the spine and weakness in the lower extremities
C. Heart murmur and poor weight gain
D. Difficulty feeding and a history of frequent emesis
5. An acutely ill 12-year-old boy is admitted to the hospital with edema of the ankles and eyelids and complains of sore throat. The urine was brown in color with a blood pressure of 140/90.
The nurse knows that another related symptom of glomerulonephritis is a change in voiding, and thus would ask the mother:
A. "Has he noticed any decrease in his urine output?" ~
B. "Is it painful when he urinates?"
C. "Has he stopped urinating?"
D. "Has he been wetting the bed lately?"
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