The nurse is assessing a client and hears course noises when the patient is breathing. Upon coughing, the noises subside. How should the nurse chart her findings?
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The nurse is completing the admission assessment on a 13-yea…
The nurse is completing the admission assessment on a 13-year- old client diagnosed with an acute exacerbation of asthma. What signs and symptoms should the nurse expect to find?
The nurse is assessing a patient’s lung sounds. Which breath…
The nurse is assessing a patient’s lung sounds. Which breath sound should the nurse identify as abnormal? Select all that apply
The client is admitted to the emergency department complaini…
The client is admitted to the emergency department complaining of shortness of breath, and is febrile. Vital signs are T 101.2; P 94; RR 24; BP 96/54. Which concept does the nurse identify as an immediate concern? Select all that apply
The client was sent to the ED by their provider The client w…
The client was sent to the ED by their provider The client was in the office for an appointment and the provider believes that the client has pneumonia. Client has elevated temperature, fatigue, muscle aches, chills, dyspnea, and a productive cough with yellow-greenish sputum. Client also reports nausea and diarrhea for the last 24 hours. Past medical history: Asthma and diabetes mellitus type 2. Current medications: Albuterol 2 inhalations per metered dose inhaler every 6 hr. Metformin 500 mg PO BID. Vital Signs Temperature: 39.7º C (103.4º F)Apical Pulse: 110/minRespiratory Rate: 26/minBlood Pressure: 100/54 mm HgPulse Oximetry: 87% on room air Nurses’ Notes (1200) Skin warm and dry, face flushed. Skin turgor poor. Mucous membranes pink and dry. Heart sounds regular and moderate. Lung sounds crackles. (1300) Sitting at bedside, reports of increased shortness of breath. Respiratory rate irregular at 28/min. Oxygen saturation 90%. Apical Pulse 108/min. Reports loss of taste. Provider notified. Which of the following actions should the nurse take? Select all that apply
Name two types of pneumonia.
Name two types of pneumonia.
The school nurse is presenting information to a class to stu…
The school nurse is presenting information to a class to students at a primary school on how to prevent the transmission of the common cold virus. Which information should the nurse discuss?
A patient in the emergency room is experiencing an acute ast…
A patient in the emergency room is experiencing an acute asthma attack (status asthmaticus). The nurse recognizes that albuterol should be administered. Prior to treatment the client’s vital signs are P 132 RR 40. SpO2 86% on room air with audible wheezes. Which findings show desired outcome of albuterol therapy?
The nurse is discharging a client disgnosed with mild interm…
The nurse is discharging a client disgnosed with mild intermittent asthma. Which statement by client shows that they have understood the teaching?
Which task is appropriate for the registered nurse to delega…
Which task is appropriate for the registered nurse to delegate to the nursing assistant?