During an assessment the nurse suspects that a patient has chronic bronchitis. On what assessment findings is the nurse basing this clinical decision?
Select all that apply.
1. barrel chest
2. smoking 1 ppd
3. diminished breath sounds
4. persistent productive cough
5. wheezes and rhonchi lung sounds
Correct Answer: 2, 4, 5
Smoking, persistent and productive coughing, and the adventitious breath sounds of wheezing and rhonchi are associated with chronic bronchitis. Barrel chest and diminished breath sounds are associated with emphysema.
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The nursing interventions appropriate for the patient with presbycusis would be:
1. Speak clearly and distinctly while facing the patient. 2. Announce your presence when entering the patient's room. 3. Place needed articles within easy reach. 4. Orient the patient to time and place as needed.
Which statement about preoperative care is correct?
A) The psychosocial needs of a patient are not a concern prior to surgery. B) Preoperative care involves the preparation and management of a patient. C) You will always prepare the skin the night before surgery. D) Encourage the patient to cough, turn, and breathe deeply to prevent respiratory problems from developing.
A 20-year-old experiences a severe closed head injury as a result of a motor vehicle accident. Which of the following structures is most likely keeping the patient in a vegetative state (VS) 1 month after the accident?
a. Cerebral cortex b. Brainstem c. Spinal cord d. Cerebellum
When evaluating a patient, the nurse observes an unexpected outcome of treatment when the surrounding skin of an ulcer becomes macerated. The nurse should:
a. obtain a wound culture. b. apply pressure-reducing devices. c. use dressings with increased moisture absorption. d. monitor the patient for systemic signs and symptoms.