When caring for an anxious patient with dyspnea, which of the ff. nursing actions is most helpful to include in the plan of care to relieve anxiety?

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Burns Pediatric Primary Care 7th Edition Test Bank Questions

Question 1 of 5

When caring for an anxious patient with dyspnea, which of the ff. nursing actions is most helpful to include in the plan of care to relieve anxiety?

Correct Answer: C

Rationale: One of the most helpful nursing actions to include in the plan of care to relieve anxiety in an anxious patient with dyspnea is to stay at the patient's bedside. By providing constant presence and reassurance, the nurse can help the patient feel supported and safe. This proactive approach can also help the nurse monitor the patient's condition closely and provide timely interventions as needed. Additionally, staying at the bedside allows the nurse to establish trust and communication with the patient, which is essential in managing anxiety and providing effective care.

Question 2 of 5

What is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?

Correct Answer: D

Rationale: For infants who are not toilet-trained, an in-and-out catheterization is the most reliable method for obtaining a sterile urine sample.

Question 3 of 5

Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?

Correct Answer: C

Rationale: The correct position to place a patient before, during, and after a seizure is on their side, also known as the recovery position. Placing the patient in the side-lying position helps prevent aspiration if the patient vomits and ensures that the airway remains open. This position also helps to prevent choking and allows for drainage of fluids from the mouth. Additionally, it reduces the risk of airway obstruction and helps to maintain proper alignment of the head, neck, and spine. By placing the patient in the side-lying position, the nurse can ensure the patient's safety and well-being during and after a seizure episode.

Question 4 of 5

Pulmonary edema is characterized by:

Correct Answer: C

Rationale: Pulmonary edema is characterized by increased hydrostatic pressure in the pulmonary capillaries and a rise in pulmonary venous pressure, which leads to fluid leaking out of the pulmonary capillaries and into the alveoli. This results in elevated left ventricular end-diastolic pressure, which is a key characteristic of pulmonary edema. Therefore, all of the above alterations (increased hydrostatic pressure, a rise in pulmonary venous pressure, and elevated left ventricular end-diastolic pressure) are seen in pulmonary edema.

Question 5 of 5

A 5 years old boy presents with joint swelling after minor trauma, mother gives history of prolonged bleeding from circumcision site. His platelets count is 170000, PT is 10 seconds and APTT is 60 seconds. What is most likely the diagnosis?

Correct Answer: D

Rationale: Hemophilia is characterized by prolonged APTT with normal platelet count and PT, indicating a coagulation factor deficiency.

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