What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Oxygen concentration of the ambient air.

Whether or not anyone witnessed the fall into the pool.

Temperature of water.

The amount of time the child was submerged.

Answer and Explanation

Correct Answer : A,C,D

Rationale:

A.   Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B.   While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C.   Water temperature impacts the body's response to submersion, affecting oxygen utilization.

D. The duration of submersion directly correlates with the level of hypoxemia.

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Correct Answer is A

Explanation

A. Grunting and sternal retractions in a newborn of a mother with poorly controlled diabetes could indicate hyperinsulinemia, where the baby is experiencing hypoglycemia due to high insulin levels passed from the mother during gestation.
B. Ventral septal defect (VSD) is a congenital heart defect that typically doesn't present with grunting and sternal retractions.
C. Hypothyroidism is unlikely to cause grunting and sternal retractions in a newborn and usually manifests differently.
D. Patent ductus arteriosus (PDA) is a heart condition in newborns that might present with other signs such as a heart murmur but is not typically associated with grunting and sternal retractions.

A. "I understand this is a disease that occurs mostly in older men." B. "I have found the support I need from my faith and family." C. "I think I had this disease for a long time, but the doctor did not find it." D. "I do not have any use for those who say this disease is going to win."

Correct Answer is B

Explanation

This statement shows awareness but doesn't necessarily indicate acceptance of the prognosis. B. Acceptance is often linked with finding emotional support, and this statement implies the client has found solace and support from faith and family, reflecting a level of acceptance. C. This statement suggests a disbelief or denial of the diagnosis, which is not indicative of acceptance.
D. This statement reflects resistance and denial rather than acceptance of the prognosis. Acceptance usually involves acknowledgment and finding ways to cope positively, which is not shown in this statement.

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What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?

Correct Answer is A

Explanation

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

Correct Answer is B

Explanation

The practical nurse (PN) observes a client's mouth and lips as seen in the picture. Which follow-up action is most important for the PN to take?

A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error?