Which is the normal liver span at the midclavicular line?
1) 3 to 6 cm
2) 4 to 8 cm
3) 6 to 12 cm
4) 12 to 16 cm
ANS: 3
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A large, heavy, and older adult patient has a stroke and develops an infected decubitus ulcer on the sacrum during the hospital stay. Approximately 2 weeks after the patient has gone home, the patient returns to the hospital with pneumonia
What is the distinction between these two infec-tions? a. The decubitus ulcer infection was trans-mitted from other patients on the unit, but the pneumonia was transmitted from a neighbor visiting when the patient was at home. b. The decubitus ulcer and pneumonia are caused by the same host. c. The decubitus ulcer is termed a health care–associated infection, and pneumonia is termed a community-acquired infection. d. The decubitus ulcer is considered to be caused by protozoa, but the pneumonia is considered unpreventable because of the size of the patient.
Which would be the least appropriate power-building strategy for a new employee?
A) Expand personal resources by gaining additional certifications and training. B) Learn the organizational culture. C) Maintain a sense of humor and be able to laugh at oneself. D) Encourage reorganizing patient care delivery to match the one in use at last place of work.
A patient is admitted to the emergency department following a motor vehicle accident. The patient is unconscious and has a broken jaw, a broken nose, and facial lacerations
The patient's breath sounds are diminished, and the health care provider suspects atelectasis. Frequent suctioning is required to clear the airway. Oxygen saturation levels range from 70% to 75%. The nurse recognizes that this patient most likely will have which type of ventilatory device ordered? a. CPAP b. BiPAP c. Nasal cannula d. Mechanical ventilation
A newborn with transposition of the grater arteries has been prescribed Captopril. The mother asks why the child needs to be on such a medication. The best response by the nurse would be:
1. "Your child needs the beta-blocker to decrease the angiotensin in the body.". 2. "The medication will help decrease the shortness-of-breath episodes.". 3. "The medication is an antihypertensive that helps relax the coronary arteries.". 4. "Your child is not responding to the prostaglandin E drip, so the Captopril needs to be started to decrease the blood pressure.".