The nurse is caring for an acutely ill 10 year-old client. Which of the following assessment findings would require the nurses immediate attention?

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Question 1 of 5

The nurse is caring for an acutely ill 10 year-old client. Which of the following assessment findings would require the nurses immediate attention?

Correct Answer: D

Rationale: Irregular respirations suggest respiratory distress or failure, a critical finding.

Question 2 of 5

A young adult male has been diagnosed with testicular cancer. Which of these statements by this client would need to be explored by the nurse to clarify his understanding?

Correct Answer: C

Rationale: Stage 3 indicates advanced cancer (more involvement), not less, showing a misunderstanding.

Question 3 of 5

Which finding would be the most characteristic of an acute episode of reactive airway disease?

Correct Answer: C

Rationale: Expiratory wheezing is the hallmark of reactive airway disease (e.g., asthma) during an acute episode.

Question 4 of 5

A newly appointed nurse manager is having difficulties with time management. Which advice from an experienced manager should the new manager implement initially?

Correct Answer: C

Rationale: A time log identifies inefficiencies, providing a baseline for improvement.

Question 5 of 5

The nurse manager has a nurse employee who is suspected of a problem with chemical dependency. Which intervention would be the best approach by the nurse manager?

Correct Answer: C

Rationale: HR provides expertise and legal guidance for addressing chemical dependency.

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