Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a child who is having difficulty breathing due to an asthma exacerbation. Which of the following areas should the nurse determine if the child is experiencing subcostal retractions? (You will find hot spots to select in the artwork below. Select only the hot corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[232.4270782470703,272.4270782470703],\"yRanges\":[382.1666450500488,422.1666450500488]}"

To determine if the child is experiencing subcostal retractions, check the area beneath the ribcage.

D - Subcostal Area:

Subcostal retractions occur below the ribs and are a sign of respiratory distress, indicating increased effort to breathe.

Observing this area can reveal inward movement during inspiration, suggesting difficulty in breathing, often seen in asthma exacerbations.

Rationale

A - Incorrect:

This area is near the clavicle and not related to subcostal retractions.

B - Incorrect:

This is the intercostal area, which can also show retractions but is not subcostal.

C - Incorrect:

This area is too central and does not correspond with subcostal retractions.

Focusing on D allows the nurse to assess the presence of subcostal retractions effectively.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A) Sensorineural deafness
This is a possible complication of mumps but not a symptom indicating the illness stage. It can occur after the infection and does not reflect the active phase of the disease.

B) Maculopapular rash
This type of rash is not typically associated with mumps. It may indicate other viral infections, such as measles or rubella, rather than mumps.

C) Swelling of the parotid glands
Swelling of the parotid glands is a hallmark symptom of the illness stage of mumps. This swelling typically appears a few days after the onset of other symptoms like fever and malaise and signifies the active phase of the infection.

D) Nuchal rigidity
Nuchal rigidity can occur if there is mumps-related meningitis, but it is not a typical sign of the initial illness stage. It indicates potential complications involving the central nervous system.

A. A potassium supplement B. A fiber supplement C. An anticonvulsant D. A diuretic

Correct Answer is D

Explanation

A) A potassium supplement: Administering a potassium supplement would be inappropriate for a client with a potassium level of 6.4 mEq/L. This level is above the normal range (3.5-5.0 mEq/L) and indicates hyperkalemia, which can have serious effects on cardiac function. Increasing potassium intake could exacerbate the condition.

B) A fiber supplement: While fiber supplements can be beneficial for overall digestive health, they do not directly address or correct an electrolyte imbalance like hyperkalemia. They are not relevant in managing elevated potassium levels.

C) An anticonvulsant: Anticonvulsants are used to manage seizure activity and are not indicated for treating hyperkalemia. They do not have any role in the regulation or management of potassium levels in the body.

D) A diuretic: Diuretics, particularly loop diuretics, are often used to help manage hyperkalemia by promoting the excretion of potassium through urine. This helps lower the elevated potassium levels in the blood and reduce the risk of complications such as cardiac arrhythmias. Therefore, administering a diuretic is an appropriate intervention for a client with a potassium level of 6.4 mEq/L.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has the communicable disease mumps. Which of the following findings should the nurse identify as indicating the client is in the illness stage?

Correct Answer is C

Explanation

A nurse is caring for a client who has an electrolyte imbalance with a potassium level of 6.4 mEq/L. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse is creating a plan of care for a newly admitted client who is visually impaired. Which of the following interventions should the nurse include in the plan?

A nurse is providing teaching about food selection to a client who has iron-deficiency anemia. Which of the following client statements should the nurse identify as an understanding of the teaching?

A nurse is assessing a client who has anemia. Which of the following manifestations should the nurse expect?

A nurse is caring for a client who has benign prostatic hypertrophy and a new prescription for tamsulosin. The nurse should instruct the client to notify the provider of which of the following findings as an adverse effect of tamsulosin?

A nurse in a provider's office is assessing a client following the death of his child 6 months ago. Which of the following statements should the nurse identify as an indication the client has entered reorganization and acceptance of the loss?

A nurse is teaching a client who has asthma and a prescription for an inhaler. Which of the following instructions should the nurse include?

A nurse is caring for a client who has claustrophobia and is scheduled for an MRI to evaluate potential pericarditis. Which of the following actions should the nurse take?

A nurse is assessing the health literacy of an older adult client who has type 2 diabetes mellitus. Which of the following actions should the nurse take?