The nurse assessing the respiratory status of a 3-year-old ...

[vinney12]

The nurse assessing the respiratory status of a 3-year-old asthmatic child would include assessments of: (Select all that apply.)
 
  a. Level of responsiveness
  b. Color of skin
  c. Prescribed medications
  d. Respiratory effort
  e. Texture of mucous membranes

Question 2

The Haitian mother asks to bring a large picture of St. Jude into her child's isolation room. The nurse's best intervention would be to:
 
  a. Wrap the picture in plastic and prop it against the wall
  b. Gently explain that nothing should be brought into an isolation room
  c. Prop the picture in the hall next to the door
  d. Explain that no religious icons are permitted in the patient rooms

[komodo7]

Answer to Question 1

A, B, D
The assessments that are significant are level of responsiveness, color of skin and mucous membranes, lung sounds, and respiratory effort. Texture of mucous membranes and prescribed medications are not part of the assessment.

Answer to Question 2

A
Haitians use religious icons as a form of protection or the bringer of good luck. Wrapping the picture in plastic will allow the family to have the icon at the bedside. Placing the picture in the hall will cause a traffic hazard.

[vinney12]

Thanks for the timely response, appreciate it

[gcook]

TYSM