A 16-year-old student has a long history of bronchial asthma and has experienced several severe asthmatic attacks during the school year. The school nurse is required to administer 0.2 mL of 1/1000 solution of epinephrine SC during an asthma attack. How does the school nurse evaluate the effectiveness of this intervention?

• A.Increased pulse rate
• B.Increased expectorate of secretions
• C.Decreased inspiratory difficulty
• D.Increased respiratory rate

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The nurse has been assigned a client who delivered a 6-lb, 12-oz baby boy vaginally 40 minutes ago. The initial assessment of greatest importance for this client would be:

• A.Length of her labor
• B.Type of episiotomy
• C.Amount of IV fluid to be infused
• D.Character of the fundus

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When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?

• A."I will not eat any raw or uncooked vegetables."
• B."I will limit my alcohol to one cocktail per day."
• C."I will look into attending Alcoholics Anonymous meetings."
• D."I will report any changes in bowel movements to my doctor."

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A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?

• A.The parts of a system are only minimally related.
• B.Dysfunction in one part affects every other part.
• C.A family system has no boundaries.
• D.Healthy families are enmeshed.

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A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:

• A.Bed rest with bathroom privileges will be ordered
• B.He will be kept NPO for 8-12 hours
• C.Some oozing of blood at the arterial puncture site is normal
• D.The leg used for arterial puncture should be keptstraight for 8-12 hours

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