The nurse is performing an initial assessment on a patient with respiratory difficulty. The nurse would anticipate documenting signs and symptoms such as:
excessive dryness.
regular respiratory pattern.
use of accessory muscles.
alteration in sensation.
The Correct Answer is C
A. Excessive dryness: This is not a primary sign of respiratory difficulty.
B. Regular respiratory pattern: A regular pattern is indicative of normal respiration, not difficulty.
C. Use of accessory muscles: Accessory muscle use is a hallmark sign of respiratory distress, indicating increased effort to breathe.
D. Alteration in sensation: This is more associated with neurological conditions rather than respiratory issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "This small amount of bleeding is expected after the removal of polyps." Minor rectal bleeding is a common occurrence after polyp removal during a colonoscopy and generally does not indicate a complication. This reassurance helps alleviate the family’s concern.
B. "I will watch your husband very carefully to assess any further haemorrhage.": This could unnecessarily alarm the family.
C. "I will notify the primary care provider about this haemorrhage.": This overstates the concern, as slight bleeding is expected.
D. "Don't worry. This small amount of blood happens with these procedures.": This is dismissive and does not provide a professional explanation.
Correct Answer is B
Explanation
A. Determining which medications are ineffective against the causative organism: The test determines both effective and ineffective antibiotics, but the focus is on identifying the most effective ones.
B. Testing anti-infective medications to see which ones are most effective against the causative organism. Sensitivity testing determines which antibiotics are most effective against the specific organism, guiding treatment.
C. Growing colonies of the causative organism on a culture medium: This is part of the culture process, not sensitivity testing.
D. Identifying the causative organism of the infection: This is also part of the culture process, not the sensitivity component.
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