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- A nurse is assessing the following children. Which childwould the nurse identify as having the greatest risk forchoking and suffocating?a. A toddler playing with his 9-year-old brother’sconstruction setb. A 4-year-old eating yogurt for lunchc. An infant covered with a small blanket and asleep in thecribd. A 3-year-old drinking a glass of juice? Do answer please!A nurse is assessing the following children. Which childwould the nurse identify as having the greatest risk forchoking and suffocating?a. A toddler playing with his 9-year-old brother’sconstruction setb. A 4-year-old eating yogurt for lunchc. An infant covered with a small blanket and asleep in thecribd. A 3-year-old drinking a glass of juiceA nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
- The nurse caring for patients in a long-term care facilityknows that there are factors that place certain patients at ahigher risk for falls. Which patients would the nurse considerto be in this category? Select all that apply.a. A patient who is older than 60 yearsb. A patient who has already fallen twice c. A patient who is taking antibioticsd. A patient who experiences postural hypotensione. A patient who is experiencing nausea from chemotherapyf. A 70-year old patient who is transferred to long-term careWhen describing safety issues and related mortality to alocal senior citizens group, what would the nurse identify asthe leading cause of hospital admissions for trauma in olderadults?a. Firesb. Exposure to temperature extremes c. Intimate partner violenced. FallsIn a focused assessment, the nurse gathers data about aspecific problem that has already been identified. Helpfulquestions include: What are your signs and symptoms? When did they start? Were you doing anything different than usual when theystarted? What makes your symptoms better? Worse? Are you taking any remedies (medical or natural) for yoursymptoms?
- A nurse is assessing patients in a skilled nursing facility forsleep deficits. Which patients would be considered at a higherrisk for having sleep disturbances? Select all that apply.a. A patient who has uncontrolled hypothyroidismb. A patient with coronary artery diseasec. A patient who has gastroesophageal reflux (GERD)d. A patient who is HIV positivee. A patient who is taking corticosteroids for arthritisf. A patient with a urinary tract infectionAn older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremetiesA nurse working in a long-term care facility is providing teaching to patients with altered oxygenation due to condi-tions such as asthma and COPD. Which measures would the nurse recommend? Select all that apply.a. Refrain from exercise.b. Reduce anxiety.c. Eat meals 1 to 2 hours prior to breathing treatments.d. Eat a high-protein/high-calorie diet.e. Maintain a high-Fowler’s position when possible.f. Drink 2 to 3 pints of clear fluids daily.
- You are the visiting nurse for a frail older patient who livesalone in her own home and prizes her independence. Youassess her to be at high risk for falls because of her generalweakness, the medication she takes, and a long history ofindifference to safety counseling. What nursing interventionsare likely to be most effective in ensuring her safety?The nurse practitioner is performing a short assessment ofa newborn who is displaying signs of jaundice. The nurseobserves the infant’s skin color and orders a test for bilirubinlevels to report to the primary care provider. What type ofassessment has this nurse performed?a. Comprehensiveb. Initialc. Time-lapsedd. Quick priorityThe nurse is reviewing factors that influence pharmacokinetics in the neonatal patient. Which factor puts the neonatal patient at risk with regard to drug therapy? a )Immature renal system b )Hyperperistalsis in the GI tract c) Irregular temperature regulation d )Smaller circulatory capacity
