While performing a focused assessment, a nurse listens to a patient's heart and lung sounds. This is an example of an assessment technique called
1. Palpation.
2. Inspection.
3. Percussion.
4. Auscultation.
ANS: 4
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The nurse is preparing to obtain a throat culture on a toddler patient. What interventions are appropriate for the nurse to implement? (Select all that apply.)
a. Model desired behavior. b. Instruct patient not to yell. c. Use distractions. d. Explain the procedure in detail. e. Encourage the child to ask questions.
In reading food labels to determine caloric content, it is important to note:
a. cooking methods used in food preparation. b. entire nutrient and fiber content. c. individual serving size. d. trademark versus the generic labeling.
The nurse is documenting in the nurses' notes. Which of the following is appropriate nursing documentation? Select all that apply
A) "The leg wound is erythematous and dry, measuring 2 x 4 cm." B) "18-gauge Foley catheter inserted using sterile technique with 200 mL of urine returned. Client tolerated procedure without complaint." C) "The doctor circumcised the client." D) "Client's mother was rude to the respiratory therapist." E) "I gave the client morphine for her pain."
An analgesic medication has been administered intramuscularly to a client in labor. How would the nurse evaluate if the medication was effective?
1. The client dozes between contractions. 2. The client is moaning during contractions. 3. The contractions decrease in intensity. 4. The contractions decrease in frequency.