The nurse providing care to a client who comes into the emergency ...

[scienceeasy]

The nurse providing care to a client who comes into the emergency department after being rescued from a near-drowning realizes the client is at risk for developing which of the following?
 
  1. Heart failure
   2. Chronic renal failure
   3. Acute respiratory distress syndrome
   4. Chronic obstructive pulmonary disease

Question 2

An adolescent reports the following: I get up at 6 a.m., I attend early-morning band classes three times each week, I play sports for two hours each day after school, and homework takes me three hours each night. I always feel tired..
 
  During assessment of this client, the priority history question for the nurse to ask is which of the following? 1. How many hours of sleep do you get each night?
   2. Do you consume foods high in iron?
   3. Do you think you are doing too much?
   4. Have you considered talking with your teachers about decreasing your homework, since you have so many extracurricular activities?

[iman]

Answer to Question 1

3. Acute respiratory distress syndrome

Rationale:
One of the conditions associated with the development of acute respiratory distress syndrome is an inhalation injury sustained from a near-drowning. Not enough information is provided to determine whether the client will or will not develop heart failure or chronic renal failure. The development of chronic obstructive pulmonary disease is not associated with near-drowning.

Answer to Question 2

1. How many hours of sleep do you get each night?

Rationale:
The data in this scenario reveal very little time for sleep; therefore, the history should focus on sleep patterns, not diet. Asking if the client thinks the number of activities or homework should be reduced does not directly address the number of hours of sleep the client is getting.

[scienceeasy]

TYSM

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