A nurse is charting that a hospitalized child has labored breathing. Which medical term describes labored breathing?
Orthopnea.
Hypopnea.
Dyspnea.
Tachypnea.
The Correct Answer is C
The correct answer is choice C. Dyspnea.
Choice A rationale:
Orthopnea. Orthopnea refers to difficulty in breathing that occurs when lying flat. It is not the term used to describe labored breathing, which is the main concern in this question.
Choice B rationale:
Hypopnea. Hypopnea is a term used to describe shallow or slow breathing, usually during sleep. It is not the term used to describe the labored breathing mentioned in the question.
Choice C rationale:
Dyspnea. This is the correct term to describe labored breathing, which is characterized by a subjective sensation of discomfort or difficulty in breathing. In this context, the nurse is charting that the hospitalized child has labored breathing, indicating the need for further assessment and intervention to address this breathing difficulty.
Choice D rationale:
Tachypnea. Tachypnea refers to abnormally fast breathing. While it is a concern, especially in the context of a hospitalized child, it does not specifically describe labored breathing, which is the main focus of this question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C: Measure abdominal girth.
Choice A rationale:
Taking vital signs, including blood pressure, is important in assessing the overall health status of a child, but it might not provide specific information about a probable intussusception. Blood pressure is not typically affected in a way that directly relates to intussusception.
Choice B rationale:
Auscultating for bowel sounds is an important assessment technique in various gastrointestinal conditions, but it may not be the most appropriate immediate action when dealing with a probable intussusception. While bowel sounds might be diminished or absent in intussusception, the priority should be on assessing other signs and symptoms.
Choice C rationale:
Measuring abdominal girth is an essential nursing action when a child with a probable intussusception has a normal, brown stool. Intussusception is the telescoping of one segment of the intestine into another, often leading to bowel obstruction. Abdominal distension or girth measurement can provide valuable information about the progression of the condition and potential obstruction.
Choice D rationale:
Notifying the practitioner is an important step, but it might not be the most immediate action required. Assessing and monitoring the child's condition should be the initial response to gather more information before notifying the practitioner.
Correct Answer is B
Explanation
The correct answer is choice b. Grasp the tick by the body to remove.
Choice A rationale:
Cleansing the wound with soap and water is a correct action. It helps to prevent infection after the tick has been removed.
Choice B rationale:
Grasping the tick by the body is incorrect. The proper method is to use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible and pull upward with steady, even pressure. Grasping the tick by the body can cause the mouth-parts to break off and remain in the skin, increasing the risk of infection.
Choice C rationale:
Leaving the tick in place and seeking emergency medical treatment is not recommended. The tick should be removed as soon as possible to reduce the risk of disease transmission.
Choice D rationale:
Avoiding touching the tick with bare hands is correct. Using gloves or tissue to handle the tick helps prevent the transmission of pathogens.
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