While conducting a physical examination of the thorax, a nurse notes and documents breath sounds as moderate "blowing" sounds with equal inspiration and expiration. What type of breath sounds are these?
A) bronchial B) bronchovesicular C) vesicular D) adventitious
B
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A patient arrives in the emergency department with a bullet wound to the left frontal lobe. The patient is comatose on arrival. What is the nursing care priority at this time?
a. Evaluate neurological status. b. Maintain an open airway. c. Maintain body temperature. d. Evaluate fluid balance.
The nurse is assisting with pelvic inlet measurements on a pregnant woman. What measurement will provide the nurse with information about whether the woman can deliver vaginally?
a. Diagonal conjugate b. Obstetric conjugate c. Transverse diameter d. Anteroposterior diameter
_____________________ relates to space, time, and waiting and is influenced by culture
ANS:
Which of the following is a violation of client confidentiality?
a. Sharing of information about a communicable disease b. Stating client's diagnosis during change of shift report c. Photographing a client's wound to monitor the healing process d. Discussing private information about the client casually with others