Deep-breathing exercises expand the lungs and assist the patient in bringing up lung secretions
True
False
True
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The nurse teaching 8th grade girls addresses common myths about sexuality and body functions. Which statement by a student is an indication that teaching was effective?
a. "After the first time I have sex, I need to begin some form of birth control to avoid pregnancy." b. "Condoms are the most effective birth control and it is the only way I can be sure I won't get pregnant." c. "I only have to worry about being infected with a sexually transmitted infection if I see a sore or have pain." d. "Enjoyable sexual relationships or reaching orgasm simultaneously does not indicate the quality of the relationship."
The nurse is caring for a client on a cardiac monitor. The monitor shows a rapid rhythm with a "saw tooth" configuration. What physical assessment findings does the nurse expect?
a. Presence of a split S1 and wheezing b. Anorexia and gastric distress c. Shortness of breath and anxiety d. Hypertension and mental status changes
The cup-disc ratio is assessed by the use of the ophthalmoscope. What would the APRN know about the cup-disc ratio? (Select all that apply.)
A) It should be 1:1 B) It occurs only in females C) It is genetically determined D) It is equal in both eyes E) It is found only in older adults
The nurse suspects cardiac tamponade in a patient who has acute pericarditis. To assess for the presence of pulsus paradoxus, the nurse should
a. note when Korotkoff sounds are auscultated during both inspiration and expiration. b. subtract the diastolic blood pressure (DBP) from the systolic blood pressure (SBP). c. check the electrocardiogram (ECG) for variations in rate during the respiratory cycle. d. listen for a pericardial friction rub that persists when the patient is instructed to stop breathing.