Why does the nurse document the precise location of crackles auscultated in the lungs of a patient with heart failure?
a. Crackles will eventually change to wheezes as the pulmonary edema worsens.
b. The level of the fluid spreads laterally as the pulmonary edema worsens.
c. The level of the fluid ascends as the pulmonary edema worsens.
d. Crackles will eventually diminish as the pulmonary edema worsens.
Answer: a. Crackles will eventually change to wheezes as the pulmonary edema worsens.
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Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?
a. "Could you help me with the housework today?" b. "The baby has a stomachache. I'll call the nurse to find out what to do." c. "The baby is spitting up a lot. What should I do?" d. "I know you are busy, so I'll get John's mother to help me."
The goal of treatment of acute pain is:
1. Pain at a tolerable level where the patient may return to activities of daily living 2. Reduction of pain with a minimum of drug adverse effects 3. Reduction or elimination of pain with minimum adverse reactions 4. Adequate pain relief without constipation or nausea from the drugs
While completing the medical and surgical history during the initial prenatal visit, the 16-year-old primigravida interrupts with "Why are you asking me all these questions? What difference does it make?" Which statement would best answer the cl
s questions?" 1. "We ask these questions to detect anything that happened in your past that might affect the pregnancy." 2. "We ask these questions to see whether you can have prenatal visits less often than most clients do." 3. "We ask these questions to make sure that our paperwork and records are complete and up to date." 4. "We ask these questions to look for any health problems in the past that might affect your parenting."
You are assigned to teach your client how to give his or her own insulin. You assess the client's level or stage of anxiety. At what stage of anxiety will your client BEST pay attention to your instructions?
a. mild b. moderate c. severe d. panic