The nurse is conducting an initial respiratory assessment on the client recently admitted to the unit. Rank the following steps in the correct sequence. Select the correct choice from the list
1. The nurse percusses the client's thorax.
2. The nurse unties the client's gown to better visualize the client's thorax.
3. The nurse warms his stethoscope and listens to the client's lung sounds in each lung field.
4. The nurse gently palpates the client's thorax.
Correct Answer: 2, 4, 1, 3
When performing a physical assessment, the nurse utilizes four basic techniques to obtain objective and measurable data. These techniques are inspection, palpation, percussion, and auscultation and are performed in an organized manner. This pattern of organization varies when assessing the abdomen. The sequence for abdominal assessment is inspection, auscultation, percussion, and palpation.
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A nurse preparing to care for a patient with asthma would anticipate that which of the following will be ordered for this patient?
A) Antihypertensives B) Potassium supplements C) Corticosteroids D) Diuretics
A married couple is beginning genetic counseling. What should the nurse instruct the couple regarding expectations from this process? (Select all that apply.)
A) The results will be provided to the couple only. B) The results will be provided as quickly as possible. C) The married couple makes the decision to participate in the process. D) Medically recommended procedures will be immediately scheduled. E) The married couple will sign informed consent forms for procedures.
A group of nurses are discussing how food is used in their families and the effects this might have on their ability to work with clients diagnosed with eating disorders. Which of these nurses will probably be most effective with these clients?
A. The nurse who understands the importance of three balanced meals a day B. The nurse who permits children to have dessert only after finishing the food on their plate C. The nurse who refuses to engage in power struggles related to food consumption D. The nurse who grew up poor and frequently did not have enough food to eat
An examiner who discovers unequal movement or uneven gluteal skin folds during the Ortolani maneuver would then:
a. Tell the parents that one leg may be longer than the other, but they will equal out by the time the infant is walking. b. Alert the physician that the infant has a dislocated hip. c. Inform the parents and physician that molding has not taken place. d. Suggest that, if the condition does not change, surgery to correct vision problems may be needed.