An acutely ill patient is in a supine position. What approach should the nurse take to assess the patient's lung fields for a patient in this position?
A) Inform the health care provider that the patient is in a supine position and anticipate an order for a portable chest X-ray.
B) Turn the patient on his or her side to assess all lung fields, so that dependent areas can be assessed for breath sounds.
C) Avoid turning the patient, and assess the accessible breath sounds from the anterior chest wall.
D) Obtain a pulse oximetry reading and, if the reading is low, reposition the patient and auscultate breath sounds.
B
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Parents of a newborn infant are concerned that their baby may have sickle cell disease. The nurse reviews the medical record and finds that both parents have the sickle cell trait. Which is the best response for the nurse to give the parents?
A) "Since neither of you actually has sickle cell disease, your baby is not at risk." B) "Your baby has the disease, as you both carry the trait." C) "As you both have the sickle cell trait, your baby will be tested for the disease." D) "Have you talked to a genetic counselor about your concerns?"
A nurse on the burn unit is caring for a patient who has gone into the acute phase of her burn. What would be important for the nurse to monitor the patient for?
A) Hypometabolism B) Hyponatremia C) Hyperkalemia D) Hypoglycemia
Which of the following is used to pay physicians and other practitioners a set amount to provide care to a given client or group of clients for a set period of time and amount of mon-ey?
1. Retrospective reimbursement 2. Prospective reimbursement 3. Fee-for-service 4. Capitation
The nurse is reviewing discharge plans with a client who is recovering from a cervical biopsy. Which statements indicate good understanding by the client? (Select all that apply.)
a. "I can return to work this afternoon." b. "There should be no problem lifting my 2-year-old toddler when I get home." c. "I cannot douche until the biopsy site is healed." d. "I need to wait for about 2 weeks to have intercourse with my husband." e. "If I have some bleeding, I can use a regular tampon this evening."