14. Several hours after admission of a child to the pediatric unit with laryngotracheobronchitis (viral croup), the nurse determines that tachypnea and tachycardia, accompanied by intercostal and substernal retractions and increased restlessness, have developed. What is the priority nursing action?

12. A 13-year-old child is hospitalized with an exacerbation of chronic bronchitis. What action should a nurse take to decrease retained secretions?

58.  A client who has a right-sided chest tube after a thoracotomy has tidaling in the water seal chamber of the collection device. Which action by the nurse is appropriate?

49.  The nurse should identify which client as most at risk for pulmonary edema?

22. The laboratory has just called with the arterial blood gas (ABG) results on four patients. Which result is most important for the nurse to report immediately to the health care provider?

41.  You are nurse caring for a client receiving mechanical ventilation. Upon entering the room, you notice that the ventilator is alarming due to low pressure.  As the nurse you are aware that which of the following below could activate the low pressure alarm for this client?

7. A 16-year old client with cystic fibrosis is admitted with increased shortness of breath and possible pneumonia. Which nursing activity is most important to include in the client’s care?

28.  You are caring for a client recently admitted to your unit with with pulmonary hypertension.  Which assessment data should the nurse recognize as confirming this diagnosis?

23. A client’s ventilator is alarming. The nurse sees apnea on the alarm screen. Which intervention should the nurse implement first?

11. The nurse is assigned a group of pediatric clients. After receiving shift report, which client should the nurse assess first?