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47.  A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider?    

37.  An older adult patient presents with dry mucous membranes in the mouth and nose. The nurse understands that this condition may increase the patient’s risk for which of the following?  

38. The nurse is caring for a client who is admitted to the emergency department with respiratory acidosis.  Which of the following body systems work to correct this condition? Select all that apply.

4.  A nurse is collecting data from a child who has an acute exacerbation of asthma. Which of the following findings should the nurse expect? (Select all that apply.)     

17. A nurse is assisting with intubation in a patient who requires airway management. When is the best time during the respiratory cycle to intubate a patient to minimize the risk of complications?   

1. The hairlike structures that propel mucus in the airways are 

A patient is admitted to the ED with suspected alcohol intoxication. The ED nurse understands the high incidence of multi-substance use and prepares to perform which action to effectively develop a plan of care for the client? 

The nurse is caring for a client with a traumatic brain injury receiving dexamethasone (Decadron) 4 mg IV every 6 hours. The client’s vital signs are Temperature: 99.0°F BP: 160/90 HR: 120 Respirations: 16 O2 Sat: 95%.   Which of the following assessment information would require immediate intervention?

A client in hypovolemic shock is receiving a unit of PRBC due to GI bleeding. The nurse assesses the client after 15 minutes and the client complains of flank pain develops urticaria and shortness of breath.  The nurse suspects [condition]. The nurses priority action is [priority] and to monitor [parameter]  

Emergency medical services (EMS) arrive on the scene of a thermal burn victim. Upon transport and arrival in the emergency department, the nurse expects, based on the priorities of emergency/resuscitative care of burns, EMS will have completed which tasks on scene?