How would the nurse examining a patient with pleurisy document a low-pitched grating lung sound?
a. Sonorous wheeze
b. Friction rub
c. Coarse crackles
d. Crackles
ANS: B
A low-pitched grating sound in the presence of an inflammatory disorder is a friction rub.
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A nurse working in a senior center encounters a patient who recently lost his spouse as well as several friends and family members. What is the best way for the nurse to assist the patient?
A) Recommend that the patient get over the loss and move on with his life. B) Encourage the patient to participate in grief counseling. C) Suggest that the patient move into a senior residence to avoid reminders of his wife. D) Ask another elder member of the senior center to discuss his experiences with grief with the patient.
A patient taking a monoamine oxidase inhibitor reports that he forgot he wasn't supposed to take over-the-counter drugs without prior approval and took some medication for his cold 6 hours ago
His wife, a nurse's aide, checked and reports that his blood pressure is 128/84, slightly above his usual blood pressure. He has not noticed any other changes or symptoms. Which of the following responses by the nurse would be most appropriate? Select all that apply. a. "A single dose of the cold medicine will probably be OK, so you can relax.". b. "To be safe, have someone drive you to the emergency room to be checked.". c. "If you develop a headache, fever, stiff neck, nausea, or vomiting, go to the ER.". d. "Check your blood pressure each hour, and go to the ER if it goes over 140/100.". e. "Drink more fluid to reduce the medication concentration and you should be OK.". f. "If you hear ringing in your ears or have trouble staying awake, call 911 for help.".
A student nurse is preparing a presentation regarding nutritional issues in the older client. Which of the following statements would the student need to include in the presentation?
A) "White older persons are at a higher risk for food insecurity than African Americans." B) "African American older persons are at a higher risk for food insecurity than Caucasian Americans." C) "Food insecurity is when a person is fearful that he or she will not have enough food to eat." D) "Food insecurity is when a person is concerned that he or she is eating foods that might be harmful to his or her health."
B.T. asks you, "So, how is my 'good cholesterol' doing today?" Which is considered the "good cholesterol," and why?
What do his HDL and LDL levels indicate to you?