A nurse in the emergency department is assessing a patient with a moderate left pneumothorax. What does this nurse expect to find during the respiratory examination?
a. Increased fremitus over the left chest
b. Tracheal deviation to the left side
c. Hyporesonant percussion tones over the left chest
d. Distant to absent breath sounds over the left chest
ANS: D
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The nurse understands that the patient with somatic symptom disorder may have an increased sensitivity to pain. This explanation of the patient's symptoms is based in which domain?
1. Genetic domain 2. Biologic domain 3. Humanistic domain 4. Psychological domain
A 30-year-old patient is being screened for ovarian cancer. The nurse would expect which of the following risk factors as part of the teaching plan?
A) Infertility B) Less than 40 years of age C) Oral contraceptive use D) Breastfeeding
A patient is admitted with a long history of mental illness
Her husband states she has been drinking up to 10 gallons of water each day for the past 2 days and refuses to eat. The patient is severely dehydrated and soaked with urine. The nurse suspects a. central diabetes insipidus (DI). b. nephrogenic DI. c. psychogenic (dipsogenic) DI. d. iatrogenic DI.
Which nursing action is a priority for a patient who has suffered a burn injury while working on an electrical power line?
a. Obtain the blood pressure. b. Stabilize the cervical spine. c. Assess for the contact points. d. Check alertness and orientation.