Which of the following are mild symptoms of respiratory distress? (Select the two responses that apply)

Tripod positioning

Nasal flaring

Confusion

Cyanosis

Answer and Explanation

Correct Answer : B,E

Choice A reason: Tripod positioning is a more severe sign, indicating increased work of breathing.
Choice B reason: This is one of the correct choices. Nasal flaring is a mild symptom of respiratory distress, indicating increased effort to breathe.
Choice C reason: Confusion is a more severe symptom, suggesting hypoxia affecting brain function.
Choice D reason: Cyanosis is a severe sign of respiratory distress, indicating poor oxygenation.
Choice E reason: This is one of the correct choices. Tachypnea, or rapid breathing, is a mild symptom of respiratory distress.

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Correct Answer is D

Explanation

Choice A reason: While peer group acceptance is important, it is not the primary concern in this situation.
Choice B reason: Developing a sense of industry is part of Erikson's stages of psychosocial development but is not the primary nursing concern here.
Choice C reason: Whether the child can manage their own insulin and finger sticks is important, but safety is the primary concern.
Choice D reason: This is the correct choice. Ensuring the child's safety is paramount, as the school needs to be aware of the child's condition in case of a diabetes-related emergency.

A. Trim toenails straight across. B. Inspect feet daily for skin breakdown. C. Keep legs elevated as much as possible. D. Wear shoes and socks while awake.

Correct Answer is B

Explanation

Choice A reason: Trimming toenails straight across is a general foot care recommendation but is not the most critical for preventing complications from an arterial ischemic leg ulcer.
Choice B reason: This is the correct choice. Daily inspection of the feet for skin breakdown is crucial for early detection and prevention of complications associated with arterial ischemic leg ulcers.
Choice C reason: Keeping legs elevated can help reduce swelling but is not as critical as daily foot inspection for preventing ulcer-related complications.
Choice D reason: Wearing shoes and socks is important for protecting the feet but does not directly prevent complications from an arterial ischemic leg ulcer.

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Which of the following are mild symptoms of respiratory distress? (Select the two responses that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

Correct Answer is D

Explanation

A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

Correct Answer is B

Explanation

In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

Which of the following are mild symptoms of respiratory distress? (Select the two responses that apply)

Which nursing intervention will assist a toddler-age client in end-stage renal failure the most?

The nurse is assessing a patient’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

Which of the following is the best indicator of brain function in a child with a moderate brain injury?