A nurse needs to auscultate a patient's lung sounds. In what position should the nurse place the patient?
a. Sims
b. Prone
c. Sitting
d. Lithotomy
ANS: C
Sitting upright provides full expansion of the lungs and provides better visualization of symmetry of upper body parts.
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The nurse has completed discharge teaching with a patient related to signs and symptoms of infection. Which statement would indicate the patient needs additional teaching?
A) "I should notify my physician if my dressing has a foul odor." B) "I should not have swelling and pain to the wound." C) "It is normal for the edges of the wound to be slightly raised." D) "Red streaks in the skin near the wound are normal and will disappear."
The nurse is caring for 8-year-old girl with diabetes insipidus. Which of the following nursing interventions would be expected?
A) Instructing the parents to report adverse reactions to the growth hormone treatment B) Teaching the parents how to administer the desmopressin acetate C) Informing the parents that treatment will stop when puberty begins D) Urging the parents to report signs of acute adrenal crisis
Maria is a 38-year-old Hispanic female recently diagnosed with type 2 diabetes. She has a family history of obesity, tobacco abuse, cardiac disease, and diabetes
She and her significant other (SO) and three children live with her parents, an aunt, and several nieces and nephews in a duplex house. The family members share household responsibilities. Both she and her SO work at a local factory and their incomes are used to support the entire family. Her mother prepares traditional food and is responsible for all meal preparation. Maria always listens attentively when the provider discusses diabetes management but never makes the lifestyle changes recommended. After talking with her you suspect: 1. Maria depends on her mother to prepare daily meals and she is hesitant to make suggestions to her mother about her dietary needs since she cooks for the whole family. 2. Maria does not understand the importance of following a balanced diet and chooses to eat whatever is the easiest for her. 3. Maria may have limited money to spend on food and so relies on her mother to feed them all. 4. Maria prefers traditional food and is just looking for a reason not to change her dietary habits.
The nurse is preparing a client with joint pain for an arthrogram. Which of the following is a nursing condition related to this test?
A) Ask the client about sensitivities to food, iodine, latex, or medications. B) Ask the client if he or she has metallic implants, such as orthopedic screws. C) Ask the client to drink extra fluids to increase excretion of isotope. D) Following the test, elevate the client's joint and apply ice to control edema.