On auscultation, a patient's breath sounds include high-pitched wheezing, anterior and posterior, in the upper lobes. Sibilant wheezing is caused by:
A) Fluid accumulated in the airways.
B) Decreased ventilatory effort.
C) Narrowed airways.
D) All of the above.
C
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A patient is in the intensive care unit with a pulmonary contusion sustained from a motor vehicle accident. Which posttraumatic complication should the nurse focus on when providing care to this patient?
1. Abdominal compartment syndrome 2. Sepsis 3. Acute respiratory distress syndrome (ARDS) 4. Acute renal failure
A 70-year-old woman asks, "How in the world can my bones be brittle when I eat all the right foods?" Which response by the nurse would be the most informative?
a. "Calcium loss is expected in the older adult." b. "Calcium is continuously withdrawn from bone for nerve and muscle function." c. "Smoking and alcohol consumption speed calcium loss from the bones." d. "Walking and standing increase calcium loss from the bone."
During the physical examination, the client tells the nurse that he has been told he has myopia. The nurse expects to find that the client:
1. Is nearsighted 2. Has decreased peripheral vision 3. Has diminished night vision 4. Experiences more glare, flashes, and floaters
Critical Thinking: A crisis intervention nurse is training emergency department staff on treatment needs of persons in abusive relationships. What is a common difficulty staff encounter when caring for this population?
a. There is not a good legal pathway to help persons in abusive relationships. b. The abused person may return to the abusive home setting. c. Hospital policies do not identify the legal care needed for abused persons. d. Because length of care is short in the emergency department, there is little staff can do for patients who have been abused.