Robert Howe, age 67, is admitted with the diagnosis of pleuritis. Auscultation of Mr. Howe's thorax reveals a pleural friction rub. How can the nurse differentiate this sound from other abnormal breath sounds?
A) Rubs occur during inspiration and clear with coughing.
B) Rubs occur during expiration and produce a light popping sound.
C) Rubs occur during inspiration and may be heard anywhere.
D) Rubs occur during inspiration and expiration and are unaffected by coughing.
D
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The mental health nurse spends a great deal of time with clients diagnosed with a dissociative disorder. Because of this fact, what is it important for the nurse to do?
A) Promote a safe environment to protect the client from self-injury or injury to others. B) Model positive and desired behaviors. C) Develop a contract between the client and the staff for dealing with self-destructive behaviors. D) Decrease anxiety-producing stimuli.
When observing an infant for symptoms of increased intracranial pressure, the earliest symptom would be detected by measurement of
a. urine output c. blood pressure b. head circumference d. respirations
Children and adolescents with a diagnosis of conduct disorder are MOST likely to:
a. display evidence of high self-esteem b. live in poverty and high-crime areas c. have little interest in their peers d. be noncompliant with school rules
A client is being transferred from one unit of the healthcare facility to another. Which is
most important for the nurse do when transferring the client to another unit? A) Notify the physician that the transfer has occurred B) Check the Kardex or medication administration record for accuracy C) Ask family to take care of client's clothes and articles D) Take x-ray films and laboratory reports after transferring the client