When performing the physical examination of a child with c, which of the following would the nurse expect to assess?
A) Dullness over the lung fields
B) Increased diaphragmatic excursion
C) Decreased tactile fremitus
D) Hyperresonance over the liver
C
Feedback:
Examination of a child with cystic fibrosis typically reveals decreased tactile fremitus over areas of atelectasis, hyperresonance over the lung fields from air trapping, decreased diaphragmatic excursion, and dullness over the liver when enlarged.
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The client that a nurse would plan to refer to a partial hospitalization program is the individual who
a. spent yesterday in the 24-hour supervised crisis care center and continues to be actively suicidal. b. has agoraphobia and panic episodes and needs psychoeducation for relaxation therapy. c. is well regulated on lithium and reports regularly for blood tests and clinic follow-up. d. is being discharged from an alcohol detoxification unit. He states, "I'm not sure I can abstain after my wife goes to work in the morning.".
The nurse is caring for a patient who is in skeletal traction. To prevent the complication of skin breakdown in a patient with skeletal traction, what preventive measures would the nurse implement?
A) Do not remove the crusting around the pin insertion site. B) Encourage the patient to push up with the elbows when repositioning. C) Encourage the patient to perform ankle and calf muscle exercises once a shift. D) Assess the pin insertion site every 8 hours.
A nurse is teaching the staff about a nursing theory that views a person, family, or community developing a normal line of defense. Which theory is the nurse describing?
a. Ego defense model b. Immunity model c. Neuman Systems Model d. Pender's Health Promotion Model
The physician comes and examines J.O. He writes the following orders, then leaves, stating he will be back
in 1 hour to check on J.O. Describe a plan for implementing these orders in order of priority. What will be an ideal response?