45.  A nurse in a community center is assisting with an in-service to a group of guardians on management of airway obstructions in toddlers. Which of the following responses by one of the caregivers indicates an understanding of the information?

40. The student nurse, is reviewing the clinical assignment with the instructor. the patient is a 58-year-old man with new onset atrial fibrillation. When discussing the patient’s condition, with the instructor, the student verbalizes a correct understanding of the electrical conduction, of the heart, when stating (select all that apply):

33. A nurse is caring for an older adult patient diagnosed with pneumonia. Why is it especially important to ensure adequate hydration for this patient? 

28. A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The healthcare provider is concerned about the patient’s lung volumes, specifically the residual volume (RV). Which of the following statements is the most accurate regarding residual volume? 

37.  An older adult patient presents with dry mucous membranes in the mouth and nose. The nurse understands that this condition may increase the patient’s risk for which of the following?  

1. The hairlike structures that propel mucus in the airways are 

The nurse is caring for a client with a traumatic brain injury receiving dexamethasone (Decadron) 4 mg IV every 6 hours. The client’s vital signs are Temperature: 99.0°F BP: 160/90 HR: 120 Respirations: 16 O2 Sat: 95%.   Which of the following assessment information would require immediate intervention?

A patient is admitted to the ED with suspected alcohol intoxication. The ED nurse understands the high incidence of multi-substance use and prepares to perform which action to effectively develop a plan of care for the client? 

A nurse is caring for a client brought into the emergency room with a neck injury after diving into a lake. Upon assessment his blood pressure is 85/54, heart rate is 53 beats per minute, respirations 10 breaths per minute, oxygen saturation is 94% and his skin is warm and dry. Which action would the nurse perform first?

An emergency department nurse has just admitted a client with a burn. The burn area is the anterior upper chest and left anterior arm. Using the rule of nine, what would be the extent of the burn injury?