When auscultating the chest, a nurse hears crackles in both lower lobes. To further assess this finding, the nurse should ask the patient to ______________
ANS:
cough
It is a useful assessment to determine that the patient can clear the secretions by coughing.
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A patient is found to have high cholesterol and triglyceride levels. He is told he has type II hyperlipidemia. Which should be explained to this patient concerning this condition?
a. There is no effective medication to treat this condition. b. Diet therapy is the only effective treatment with this type of condition. c. This condition is curable with a regular diet and medications for life. d. Diet modifications and medication are helpful in normalizing lipid levels.
The nurse is caring for a patient who has had an indwelling urinary catheter inserted for the past 5 days. In reviewing and revising the plan of care, what is the most important nursing diagnosis for this patient?
a. Disturbed Body Image b. Risk for Infection c. Risk for Impaired Skin Integrity d. Risk for Decreased Urine Output
The nurse is assessing a patient who has recently been treated with amoxicillin for acute otitis media of the right ear. Which finding is a priority to report to the health care provider?
a. The patient has a temperature of 100.6° F. b. The patient complains of "popping" in the ear. c. The patient frequently asks the nurse to repeat information. d. The patient states that the right ear has a feeling of fullness.
A baby was born with flaccid muscle tone, regular respirations with crying, a heart rate of 85, and blue extremities. What would the Apgar score be?
1. 6 2. 7 3. 5 4. 8