The nurse is providing care for a patient diagnosed with asthma. Which adventitious sound should the nurse expect when auscultating this patient's lung sounds?
a. Crackles
b. Wheezes
c. Pleural friction rub
d. Diminished breath sounds
ANS: B
Patients with asthma have narrowed airways that cause wheezing. A. D. Diminished breath sounds and crackles are less common with asthma. C. Friction rub is associated with pleurisy.
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The nurse plans to implement airborne precautions for children with which of the following infections?
A) Measles B) Streptococcal group A C) Rubella D) Scarlet fever
A patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin's disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning
Which is an appropriate goal for him? a. Frequent rest periods are helpful. b. Exercise vigorously when fatigue is not as noticeable. c. Maintain bed rest until the radiation treatment is completed. d. Consult with a psychiatrist for treatment of depression.
The nurse is providing instruction to a patient who has been diagnosed with prostate cancer. Which statement by the patient would indicate understanding of the nurse's instruction?
1. "The prostate gland is where sperm are formed.". 2. "The prostate gland is located at the neck of my bladder.". 3. "The prostate gland produces semen.". 4. "The prostate gland is normally very small, only about a quarter of an inch long.".
A Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives is taken to the ER following a fall at work. He is admitted to the hospital for observation
The nurse is aware that this client is at risk for: A) Cultural assimilation B) Cultural shock C) Cultural imposition D) Cultural blindness