As a component of a patient's comprehensive respiratory assessment, the nurse is preparing to assess for the presence of tactile fremitus. How should the nurse direct the patient prior to this assessment?
A) "Please say 'toy boat' after I put my stethoscope on your back."
B) "Take few deep breaths after I put my hands on your ribs."
C) "Take a deep breath while I tap your back in a few places with my fingers."
D) "I'd like you to say 'one, two, three' for me a few times while I feel your chest and back."
D
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After a sudden decline in cognition, a 77-year-old man who has been diagnosed with vascular dementia is receiving care in his home. To reduce this man's risk of future infarcts, what action should the nurse most strongly encourage?
A) Activity limitation and falls reduction efforts B) Adequate nutrition and fluid intake C) Rigorous control of the patient's blood pressure and serum lipid levels D) Use of mobility aids to promote independence
A postpartum client who is a primipara and her husband prepared for their baby's birth by taking Lamaze classes, but the client had to have an emergency cesarean delivery
According to Reva Rubin's restorative/adaptive phases, the nurse would expect this couple to experience the MOST difficulty during which phase? a. letting go c. taking in b. taking hold d. postpartum blues
What are standardized care plans considered?
a. Clinical pathways b. Evaluation tools c. Outcome criteria d. Nursing intervention based
A PHN learns in a behavioral health class that the relationship between physiology and mental health plays an important role in mental disorders. Which of the following physiological factors may contribute to the development of mental disorders?
A. Conditions that affect brain chemistry, such as medication side effects or toxins B. Physical trauma C. 1 and 2 D. Unstable family life