The nurse auscultates a client with soft, high-pitched popping breath sounds on inspiration. The nurse documents the breath sounds heard as:
A) crackles.
B) vesicular.
C) wheezes.
D) rales.
Ans: A
Feedback:
A coarse crackle is a low-pitched, rumbling sound in airways. When they are coarse and loud and occur with severe dyspnea, crackles may be a telling sign of pulmonary fibrosis, congestive heart failure, and pulmonary edema.
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Nurses know that patient needs that are not met will lead to anxiety. Anxiety leads to some sort of action by the patient. The action taken by the patient serves the purpose of:
A) Repression B) Problem solving C) Denial D) Tension relief
A client has been ordered a phenothiazine medication as part of his treatment regimen for a psychiatric disorder. Because he is taking the medication for this purpose, the nurse will prepare a dosage of medication that is:
a. larger than the dose he would take for vomiting. b. smaller than the dose he would take for vomiting. c. equal to the amount that he would take for vomiting. d. smaller than the dose for vomiting and given by injection.
A client diagnosed with depression has been placed on imipramine (Tofranil). What would the nurse most likely assess if the client experiences adverse effects of this medication?
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