Which sound would the nurse expect to elicit when percussing the liver?
1) Resonance
2) Hyperresonance
3) Dullness
4) Tympany
ANS: 3
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The nurse is providing discharge instructions to a patient with multiple lacerations and puncture wounds following a motor vehicle accident. Which statement by the patient indicates an understanding of the instructions?
A) "I should remove any scabs that form." B) "The scab helps with wound repair." C) "Scabs interfere with healing." D) "Scabs prevent the wound edges from coming together."
The nurse anticipates which of the following physical assessment findings in a newborn who is reported to be 35 weeks' gestation? Select all that apply
A) The pinna of the ear springs back slowly when compressed. B) There is very little lanugo seen on the baby. C) The newborn lies with arms and legs slightly flexed. D) The soles of the feet are covered with deep creases. E) The skin is dry and peeling.
The ICU nurse consulted with the client's health care provider and the decision was made to intubate the client
The nurse anticipates the health care provider will require which of the following items in order to successfully intubate the client? 1. Nonsterile gloves, stylet, endotracheal tube, lubricant, laryngoscope handle and blade, resuscitation bag with a swivel adapter, and syringe 2. Gloves, lubricant, laryngoscope handle and blade, resuscitation bag with a swivel adapter, and ventilator 3. Sterile gloves, endotracheal tube, lubricant, laryngoscope handle and blade, resuscitation bag with a swivel adapter, and syringe 4. Gloves, stylet, lubricant, laryngoscope handle and blade
The client asks why she will be taking two medications to treat her tuberculosis. The best response by the nurse is:
a. "Clients tend to develop bacterial resistance when only one medication is used." b. "Two medications are more effective against the tuberculosis organism." c. "The client suffers fewer adverse side effects when two drugs are taken." d. "Treatment with two drugs takes half the time."