In auscultating a client's chest, the nurse recognizes that bronchovesicular sounds are considered normal if heard:
a. In the lower lobes.
b. Over the trachea.
c. In the apices of the lungs.
d. Near the sternal border.
ANS: D
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A client at risk for continuing hyperkalemia states that she is upset because she cannot eat fruit every day. Which response by the nurse is best?
a. "You are correct. Fruit is usually very high in potassium." b. "If you cook the fruit first, that lowers the potassium." c. "Berries, cherries, apples, and peaches are low in potassium." d. "Fresh fruit is higher in potassium than dried fruit."
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this is necessary. You tell him:
a. "L-dopa is neuroprotective." b. "The primary goal of therapy is to replace depleted stores of dopamine." c. "This is the only drug that can provide symptomatic benefit." d. "This is the initial monotherapy drug."
Which of the following outcome goals would be best for an adolescent male who has a nursing diagnosis of "Imbalanced nutrition: Less than body requirements related to poor caloric intake and increased metabolic demands as evidenced by poor weight
gain and weight loss"? a. The child will ingest the appropriate number of calories for his age (50 calories per kilogram per 24 hours). b. The child will take in three meals per day. c. There will be an improvement in appetite during the next 3 days. d. The dietary department will consult with the child and his family to ascertain likes and dislikes and will serve more likes.
Which clinical manifestations should the nurse anticipate upon assessment for a preschool-age child with a urinary tract infection (UTI)?
1. Headache, hematuria, and vertigo 2. Foul-smelling urine, elevated blood pressure (BP), and hematuria 3. Urgency, dysuria, and fever 4. Severe flank pain, nausea, and headache