Match the breath sounds with the location for their auscultation
a. Bronchial
b. Bronchovesicular
c. Vesicular
1. Over trachea
2. Outside intrascapular line
3. Above scapulae
1. ANS: A
2. ANS: C
3. ANS: B
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The nurse identifies common skin problems among older adults. In which of the following patients is pruritus most likely to occur?
A) A diabetic patient who has a diet rich in nutrients and vitamins. B) A patient with liver disease who takes sponge baths most of the time. C) A psychiatric patient who uses bath oils and lotions. D) A cancer patient who lives in a desert environment.
After administering pain medication, the nurse returns to check the client's level of comfort. This stage of the nursing process is known as:
A) assessment. B) planning. C) implementation. D) evaluation.
An otherwise healthy client is scheduled to undergo a hip replacement to manage osteoarthritis. When providing education concerning the procedure, the client asks if she should be concerned about complications
The nurse best responds by replying: 1. "Complications may occur with any surgical procedure, so let's discuss the common ones.". 2. "Complications are variable, so it's difficult to predict.". 3. "Your health care provider will be in to discuss complications with you just before the surgery.". 4. "You are healthy and should have an uneventful recovery.".
An older female client with delirium becomes agitated and confused at night. The nurse's most important strategy for this is to do which of the following?
1. Turn off the television and radio, and use a nightlight. 2. Keep soft lighting and the television on during the night. 3. Change the client's room to one nearer the nurses' station. 4. Play soft instrumental music all night, and do not turn down the lights.