Which of the following denotes the correct procedure for using an otoscope when examining the ears of a 32-year-old client?
A) Keeping the dominant hand away from the client's head
B) Inserting the speculum down and forward into the ear canal
C) Using the smallest speculum on the otoscope head
D) Holding the otoscope in the non-dominant hand
B
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The nurse knows that auscultation of fine crackles would most likely be noticed in:
a. A healthy 5-year-old child. b. A pregnant woman. c. The immediate newborn period. d. Association with a pneumothorax.
Which is the most appropriate action for the nurse to take when sternal and intercostal retractions are noted in an infant?
A) Nothing, as this finding is normal in infants. B) Notify the physician or provider immediately. C) Assess the infant again in 15 minutes. D) Increase fluid intake.
A client is admitted with progressive dysphagia. What intervention by the nurse takes priority?
a. Weigh the client daily. b. Instruct the client on a high-protein diet. c. Assess and treat the client's pain. d. Administer antitussive medications.
Which statements made by the client indicate he or she may be experiencing psychosis?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "The servants need to be disciplined." B. "The voice told me to cut myself." C. "I have not had an appetite for weeks." D. "Close the door so that man can't get to me." E. "I have not been able to get any sleep for months."