Adventitious sounds are heard when auscultating a patient's lungs. Which of the following would the nurse do first?
A) Refer the patient for further medical evaluation
B) Auscultate for egophony
C) Perform bronchophony
D) Have the patient cough and then listen again
D
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101.4 ° f = _____ ° c
a. 40.6 b. 37.6 c. 38.6 d. 40.1
The nurse, caring for a client who has had a bone marrow transplant, assesses a rash over a large part of the client's body and discovers, upon questioning, that the client has had diarrhea and vomiting on day 30 following the transplant
The nurse reviews laboratory results and sees liver enzymes are elevated. The nurse suspects that this client has: 1. Veno-occlusive liver disease. 2. Renal insufficiency. 3. Gastrointestinal toxicity. 4. Acute graft-versus-host disease.
Which assessment finding would be associated with a client requiring mineralocorticoid replacement therapy?
1. Respiratory rate of 13 breaths per minute 2. Oral temperature of 100.0°F 3. Pulse of 48 beats per minute 4. Blood pressure of 78/58
The nurse teaches safety precautions of home oxygen use to a client with emphysema being discharged with a nasal cannula and portable oxygen tank. Which client statement indicates the need for further teaching?
a. "I can apply Vaseline to my nose when my nostrils feel dry from the oxygen." b. "I can cook on my gas stove as long as I have a fire extinguisher in the kitchen." c. "I can increase the liter flow from 2 to 6 liters a minute whenever I feel short of breath." d. "I should not polish my nails when using my oxygen." e. "I should not use a wool blanket on my bed."