On inspection, a nurse finds the patient's anteroposterior diameter of the chest to be the same as the lateral diameter. Based on this finding, what additional data does the nurse anticipate?
a. Increased vocal fremitus on palpation
b. Dull tones heard on percussion
c. Decreased breath sounds on auscultation
d. Complaint of sharp chest pain on inspiration
ANS: C
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The nurse is planning to assess an African American's integumentary status. Which of the following statements by the client is most consistent with the presence of cyanosis?
1. "The whites of my eyes don't look as white anymore; they have a little bit of a yellow cast to them.". 2. "My nails look a little bit bluish.". 3. "My nails are bright red.". 4. "My palms and the inside of my mouth look really pale.".
The nurse is caring for a newly admitted patient. How can a nurse arrive at a more complete database for this patient?
A) Through clustering of data B) Analysis of lab values C) Review of the chart D) Consult with several sources
An unmarried pregnant teenager asks the nurse for advice on what she should do about her pregnancy. How should the nurse respond?
A) Suggest abortion or adoption B) Ask her what her family wants her to do about the pregnancy C) Ask her what she wants to do about the pregnancy D) Ask her if she would like to talk to a counselor
A patient living in the United States for ten years is distressed about not "fitting in" with American society. What aspects of acculturation will the nurse discuss with this patient? Select all that apply:
1. Socialization 2. Acculturation 3. Assimilation 4. Ethnicity 5. Heritage consistency