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. “I have just been started on metformin." Metformin use requires caution with contrast as it increases the risk of lactic acidosis, especially if renal function is impaired.
B. "I am allergic to penicillin": This allergy is unrelated to contrast agents.
C. "I have terrible claustrophobia": Claustrophobia can be managed with anxiolytics and would not necessarily delay the scan.
D. "I have an implanted pacemaker": Pacemakers are not a contraindication for CT scans.
Correct Answer is A
Explanation
A. Primary care provider. The primary care provider or attending physician must authorize the transfer to ensure the patient’s condition is stable and appropriate for a lower level of care.
B. Charge nurse: The charge nurse oversees unit operations but does not authorize patient transfers.
C. Family: Families can provide input but do not have the authority to make transfer decisions.
D. Patient: The patient’s consent is important, but authorization requires a medical assessment.
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