The nurse is assessing her patient for adventitious breath sounds. What makes the distinction between continuous and noncontinuous breath sounds?
A) Whether you can hear both inspiration and expiration
B) Whether you can hear popping sounds
C) The duration of the sound
D) How well you can hear the sound
Ans: C
Feedback: The duration of the sound is the important distinction to make in identifying the sound as noncontinuous or continuous. The other options are incorrect.
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A patient is diagnosed with high blood pressure. Which of the following events occurs in a patient with hypertension?
A) The kidneys excrete more fluid in response to increased blood pressure. B) Fluid loss increases blood volume in the patient with hypertension. C) Decreased blood volume increases blood pressure. D) Cardiac output increases and in turn causes an increase in blood pressure.
The purpose of the _____ council is to assess staff learning needs, and develop and implement evidence-based programs to meet those needs
a. clinical practice c. quality b. education d. nursing coordinating
A nurse is preparing to take a client's apical pulse. The nurse places the stethoscope at the point of maximal impulse (PMI) at the:
a. sternum c. right of the midclavicular line b. suprasternal notch d. fifth intercostal space
What is the priority nursing diagnosis for a patient with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?
a. Disturbed sensory perception–auditory b. Risk for other-directed violence c. Ineffective denial d. Ineffective coping