A patient is admitted to the critical care unit with acute respiratory failure. Upon auscultation, the health care provider hears creaking, leathery, coarse breath sounds in the lower anterolateral chest area during inspiration and expiration
The nurse suspects that the patient has a(n) a. emphysema. c. pulmonary fibrosis.
b. atelectasis. d. pleural friction rub.
D
A pleural friction rub is the result of irritated pleural surfaces rubbing together and is characterized by a leathery, dry, loud, coarse sound. A pleural friction rub is seen with pleural effusions or pleurisy and is not indicative of emphysema.
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A nurse understands that which characteristics of family dynamics impact a patient's sexuality? (Select all that apply.)
a. Religion b. Age c. Ethnicity d. Culture e. Geographic location
A nurse working with postpoliomyelitis patients knows that most of the patients:
1. had the initial infection in the 1940s and 1950s. 2. have muscle involvement only in muscle groups that were affected initially. 3. have few symptoms other than mild muscle and joint weakness and pain. 4. had a recurrence due to receiving an oral polio vaccine booster.
Which of the following nursing interventions by practitioner in a long-term care facility are appropriate? Select all that apply
A) The nurse times laxative administration as to not interfere with social interaction. B) The nurse provides diuretics after, not before, recreation sessions. C) The client's need for and dosage of nighttime sedation is weighed in light of activities planned for the following morning. D) Analgesia is provided prior to physical activity but held before social activities.