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Question 1 of 5

An 18-month-old is admitted to the hospital with acute laryngotracheobronchitis. When assessing the respiratory status, the nurse should expect to find:

Correct Answer: A

Rationale: Acute laryngotracheobronchitis (croup) is characterized by inspiratory stridor and a harsh, barking cough due to upper airway inflammation and narrowing.

Question 2 of 5

A client who is to undergo electroconvulsive therapy for severe depression is quite anxious about the treatment and asks the nurse what to expect after treatment. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,B,C

Rationale: ECT causes short-term confusion (
A), headache/muscle soreness (
B), and transient memory loss (
C). Incontinence (
D) and prolonged hallucinations (E) are not typical.

Question 3 of 5

The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

Correct Answer: D

Rationale: Respiratory stridor post-tonsillectomy indicates airway obstruction, a life-threatening complication requiring immediate reporting.

Question 4 of 5

To decrease the likelihood of seizures and visual hallucinations in a client with alcohol withdrawal, the nurse should:

Correct Answer: C

Rationale: A quiet, dimly lit room reduces sensory stimulation, decreasing the risk of seizures and hallucinations during alcohol withdrawal.

Question 5 of 5

The nurse is reviewing labs on a group of adult clients. Which lab value would prompt the nurse to immediately notify the health care provider?

Correct Answer: A

Rationale: Hemoglobin of 4.8 g/dL is critically low, indicating severe anemia and requiring immediate provider notification. Other values are normal or near-normal.

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A gravida II para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse expect to make immediately after the amniotomy?
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
The nurse is interviewing a client with clinical depression. Which of the following risk factors would the nurse expect to find in the client's history? Select all that apply.

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