A nurse performing a respiratory assessment of a client plans to assess tactile (vocal) fremitus. The nurse performs this assessment by:
A. Palpating for symmetric chest expansion
B. Auscultating the breath sounds over the trachea and larynx
C. Auscultating the breath sounds over the peripheral lung fields
D. Palpating the thorax, comparing vibrations from side to side as the client repeats the word "ninety-nine"
Ans: D. Palpating the thorax, comparing vibrations from side to side as the client repeats the word "ninety-nine"
You might also like to view...
The client scheduled to undergo radiation therapy for breast cancer asks why 6 weeks of daily treatment are necessary. What is the nurse's best response?
A. "Your cancer is widespread and requires more than the usual amount of radiation treatment." B. "The cost of giving larger doses of radiation for a shorter period of time is unjus-tified by the results." C. "Research has shown that more cancer cells are killed if the radiation is given in smaller doses over a longer time period." D. "It is less likely that your hair will fall out or that you will become anemic if the radiation is given in small doses over a longer time period."
Which action will the nurse include in the plan of care for a patient with benign paroxysmal positional vertigo (BPPV)?
a. Teach the patient about use of medications to reduce symptoms. b. Place the patient in a dark, quiet room to avoid stimulating BPPV attacks. c. Teach the patient that canalith repositioning may be used to reduce dizziness. d. Speak slowly and in a low-pitch to ensure that the patient is able to hear instructions.
A petite, 5-ft tall, 95-lb woman who is 28 years old is about to deliver her first child and would like to have a vaginal delivery
She has two sisters, both of whom have given birth vaginally. She has gained 25 lb during a normal, uneventful pregnancy. What type of pelvis would a nurse expect this woman to have upon assessment of the patient? A) Gynecoid B) Platypelloid C) Android D) Cannot be determined
The sender-message-receiver process means that
a. a direction is given b. there is a clear exchange of information from the sender to the receiver and the receiver to the sender