A nurse sees documentation in the client's record indicating that the physician has noted the presence of adventitious breath sounds. The nurse knows that these types of sounds are:

A. Normally heard in the lungs
B. Hollow sounds heard over the trachea and larynx
C. Rustling sounds heard over the peripheral lung fields
D. Abnormal sounds that should not be heard in the lungs


Ans: D. Abnormal sounds that should not be heard in the lungs

Nursing

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The nurse documents a flat affect when the patient:

a. stomps on and flattens the envelope from the IRS announcing his audit. b. goes to bed after his dog was run over. c. laughs vigorously when his physician trips and falls. d. receives the news of his mother's death without response.

Nursing

One advantage to primary nursing is that:

a. the approach to care is holistic c. RNs provide all the care b. there is a higher RN skill mix d. nurse patient ratios are realistic

Nursing

A client who has diabetes with vascular complications and takes antihypertensives develops recent onset impotence. Which type of impotence do the client's symptoms suggest?

a. injury to the spermatic cord c. atonic b. anatomic d. functional

Nursing

Examples of unprofessional conduct that could lead to having one's nursing license revoked or suspended include which of the following? Select all that apply

1. Accidentally causing a skin tear on a frail elderly patient 2. Conduct that violates the Nurse Practice Act 3. Documenting patient care at the end of the shift 4. The use of drugs or alcohol while on duty 5. Failure to supervise nursing assistants and unlicensed assistive personnel

Nursing