The nurse is collecting data for a patient 3 days after an automobile accident, in which the patient hit the steering wheel. The data reveal symptoms of pericarditis. Which of these findings are indicative of pericarditis?
a. Pain on expiration
b. Pericardial friction rub
c. Jugular vein distention
d. Crackles in lung bases
ANS: B
B. Pericardial friction rub due to inflammation of pericardium is the classic sign of pericarditis. A. Pain occurs with inspiration. C and D are heart failure symptoms.
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Which statement contributes to the understanding that nursing is considered a profession? (Select all that apply.)
a. Nursing requires specialized training. b. Nursing has a specialized body of knowledge. c. The ANA regulates nursing practice. d. Nurses make independent decisions within their scope of practice. e. Once licensure is complete, no further education is required.
You note that Unit 64 has had a high turnover rate of staff during the past year. In selecting the appropriate action, it is important that:
a. All documentation is reviewed. b. Usual processes for discipline are fol-lowed. c. Confidentiality is assured. d. An incident report is filed.
A nurse is examining a client in the emergency room who is complaining of abdominal pain. The client is pointing to the flank area where the nurse notices ecchymosis. What is the clinical term for this observation?
a. Miller's sign c. Grey Turner's sign b. Cullen's sign d. Turner Grey's sign
The community health nurse manager is reviewing the charts of female elderly clients. Which issue are these clients most likely to experience?
1. Adequate financial resources to purchase medications 2. Senior services that provide transportation to healthcare appointments 3. Multiple medications prescribed by different physicians 4. Medicare that covers healthcare costs so no out-of-pocket expenses occur