ATI n232 Med Surg Exam | Nurselytic

Questions 49

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ATI n232 Med Surg Exam Questions

Extract:

Medical History
Nurses' Notes
Vital Signs
0430:
Client reports they "felt fine" during the day, but in the evening their throat hurt when they swallowed. They woke up about 0330 and could not swallow. Their throat was very sore. They noticed that their voice sounded "funny" and their chest "appeared to be sinking in with their breaths." They were very concerned and drove themself to the emergency department


Question 1 of 5

The nurse should determine the assessment findings are consistent with which of the following disease processes?

OptionsLTBEpiglottitisForeign Body Aspiration
Respiratory Rate
Irritability
Drooling
Fever
Immunization Status

Correct Answer: A,B,C,D,E

Rationale: Respiratory Rate: LTB, Epiglottitis, Aspiration (tachypnea from obstruction). Irritability: All (distress from hypoxia). Drooling: Epiglottitis, Aspiration (swallowing difficulty). Fever: LTB, Epiglottitis (infection). Immunization Status: Epiglottitis (Hib risk).

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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