Respiratory Syncytial Virus (RSV) BronchiolitisMeet the Client: Grace HicksSix-week-old Grace arrives in the emergency department (ED) by ambulance withher mother Wendy. The mother states that the infant has had a 2-day history of cold symptoms. Today, the infant became limp and cyanotic and was not breathing. The mother revived the infant by performing mouth-to-mouth resuscitation. An ambulance arrives, and the emergency medical technician (EMT) stabilizes Grace before transporting the infant to the ED. This information is reported to the nurse by the EMT upon the infant’s arrival to the ED.Instructions:While taking this case study, all questions must be answered correctly before you will be able to proceed to the next page. For all incorrect answers, select a new response and click the Nextbutton. When all questions have been answered correctly, clicking the Nextbutton will display the next page.Page 11.AssessmentWhen the nurse enters the room she finds Grace crying in her mother's arms. Thenurse and Wendy calm Grace, and then the nurse auscultates the infant's lungs. Coarse bilateral wheezes are detected, but the infant does not appear in acute distress at this time.2.1.ID: 6975234130What action should the nurse take next?A.Perform nasal suctioning.Since the infant is not in distress, nasal suctioning is not necessary at this time.B.Continue respiratory assessment. CorrectThe nurse should complete the respiratory assessment, as this will provide important baseline information for the healthcare provider (HCP). C.Call the emergency response team.Since the infant is not in acute distress, calling the emergency response teamis not necessary at this time.D.Document assessment findings.
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Respiratory Assessment Evolve
1. oxygen saturation
2. use of accessory muscles
3. note the amount and appearance of any sputum
4. what activites cause you to feel short of breath?
5. Advise client to rest in bed while nurse performs physical assessment
6. Barrel chest
7. Color of palms and soles, shape of fingers and fingertips
8. Second rib
9. Inhale deeply
10. Document the normal finding
11. Increased fremitus over areas of consolidation
12. ask the client to repeat a phrase aloud
13. locate the client’s first intercostal space
14. compare this finding with the location of the client’s pneumonia seen on xray
15. move the diaphragm across to the apex of the R lung posteriorly
16. auscultate lower lung fields to determine the presence of any adventitious sounds
17. document the presence of wheezes in the upper lobes and complete the assessment
18. chart what was heard both ant and post
19. calculate BMI
21. note texture of client’s hair
22. auscultate breath sounds bilaterally
23. respiratory effort
24. crackles heard B in middle and lower lung fields posteriorly
25. compare the current assessment of the client to the data obtained during admission assessment
Is there anyway that you can write the answers in words for Peripheral Vascular pls?
Sorry, I don't have the words now. Just the letters.
tnx for the quick response ^_^
do you have breathing patterns
anyone have HIV / TB evolve hesi case study?
Thank u so much!!!!
Where can I get pdf files for Hesi Case studies? Pls help!