The nurse must assess the patient for hazards of immobility by performing a head-to-toe physical assessment. When assessing the respiratory system, the nurse should
a. Assess the patient at least every 4 hours.
b. Inspect chest wall movements during the expiratory cycle only.
c. Auscultate the entire lung region to assess lung sounds.
d. Focus auscultation on the upper lung fields.
C
Auscultate the entire lung region to identify diminished breath sounds, crackles, or wheezes. Perform a respiratory assessment at least every 2 hours for patients with restricted activity. Inspect chest wall movements during the full inspiratory-expiratory cycle. Focus auscultation on the dependent lung fields because pulmonary secretions tend to collect in these lower regions.
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Mr. Parkinson, a 50-year-old man who is HIV positive, is being treated for cytomegalovirus (CMV) with intravenous acyclovir. The nurse should recognize the possibility of a serious adverse drug effect if he complains of
A) hallucinations. B) chest pain. C) pruritis. D) blurred vision.
A nurse is showing a group of clients the correct way to move their body parts during their daily exercise regimen at a health care facility. Which of the following effects occurs when a person adheres to proper body mechanics?
A) Reduced skin breakdown B) Increased peripheral blood perfusion C) Reduced range of motion D) Increased muscle effectiveness
If thirty patients developed foodborne illness after eating at a particular restaurant, the doctor or hospital may report the outbreak to the
a. Partnership for Food Safety Education. b. U.S. Department of Agriculture (USDA). c. U.S. Food and Drug Administration (FDA). d. Centers for Disease Control and Preven-tion (CDC).
Which of the following is a descriptor that helps to define the term criteria?
A) immeasurable qualities C) acceptable level of performance B) established by authority D) evidence-based practice