An eighth-grade class is taking a field trip to the beach to ...

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An eighth-grade class is taking a field trip to the beach to explore sea life. What should the school nurse suggest to the students to reduce the risk of sun exposure?
 
  1. Go on the field trip in the evening.
  2. Use SPF 15 lotion on their exposed skin.
  3. Stay out of the water.
  4. Wear long-sleeved shirts and long pants.

Question 2

The nurse is assessing the cardiac status of a client with lung cancer. During the assessment the nurse notes that the client has muffled heart sounds and weak pulses during inspiration. What should the nurse do first?
 
  1. Give the client a back rub.
  2. Raise the head of the bed.
  3. Notify the physician.
  4. Assess urinary output.

[cadimas]

Answer to Question 1

Answer: 2

1. It might be unrealistic to have a field trip in the evening to explore sea life.
2. SPF 15 lotion provides protection against the sun's most damaging ultraviolet radiation and would be the most practical of the suggestions.
3. There is no reason to stay out of the water.
4. Wearing long-sleeved shirts and long pants would be unrealistic if sea life is going to be explored.

Answer to Question 2

Answer: 3

1. The client is most likely experiencing cardiac tamponade, which is an emergency. A back rub is inappropriate.
2. Raising the bed might help the client to breathe better, but the priority is to notify the physician and the emergency care team.
3. This is an emergency, and notifying the physician and others, such as the code team, are the priority for the nurse.
4. Assessing urinary output will be important after the client has been stabilized.

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TYSM

[Alyson.hiatt@yahoo.com]

Excellent