Which assessment finding should you expect in the client with COPD?
A. Decreased vocal fremitus
B. Grossly bloody sputum
C. Loss of the gag reflex
D. Tracheal deviation
A
Vocal vibrations are usually transmitted to the chest wall and can be palpated by the examiner when the client talks. When the large airways are obstructed, vibrations are poorly transmitted and fremitus is decreased.
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After admission to the intensive care unit, a patient shares with the nurse a concern that her adult children will not be able to reach agreement on what to do if she is no longer able to make decisions for herself
The nurse informs the patient that it is possible to grant authority to one person to make decisions by procuring a a. court-appointed guardian. b. do-not-resuscitate order. c. durable power of attorney for health care. d. living will.
According to Piaget's stages of cognitive development, children 12 years and older are in which stage?
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A student nurse is taking an anatomy test and is asked a question about the columella. What is the best description of the term columella?
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The mother states that since beginning the Adderall, every time the daughter uses her inhaler, she gets very agitated, jittery, and anxious. Which response by the nurse is the most appropriate? 1. "Your daughter needs to see her primary care provider to have her asthmatic medication changed to another medication." 2. "Your daughter will need to discontinue her treatment for ADHD, as it is contraindicated with medications use to treat asthma." 3. "The Adderall should be discontinued during times of asthma exacerbation." 4. "Inhalers used for asthma tend to cause central nervous system stimulation, just as medications for ADHD do. Her symptoms are likely due to the additive effect of having both medications."