The nurse anticipates that, on auscultation of the chest of an older adult with left-sided congestive heart failure (CHF), the major adventitious sound will be:
a. wheezing.
b. crackles.
c. rhonchi.
d. friction rub.
A
Wheezing will be the overriding sound.
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The nurse is caring for a young adult client in the clinic who presents for a routine health examination. The nurse anticipates which of the following interventions for this client? Standard Text: Select all that apply
1. Counseling on injury prevention 2. Tetanus/diphtheria vaccination booster 3. Counseling on fluoride supplements 4. Information on diet and exercise 5. Fecal occult blood test
The client receives paroxetine (Paxil), and tells the nurse that sexual dysfunction has become a problem. What is the best response by the nurse?
1. "This side effect usually subsides in a few months." 2. "This is common. Please discuss it with your physician." 3. "Your depression is of primary concern right now." 4. "You should stop the medication right away."
During a postpartum assessment, the nurse notes that the uterus is midline and boggy. The immediate nursing action is:
a. To notify the patient's midwife or physician b. Massage the fundus until firm and reevaluate within 30 minutes c. Give Syntocinon as per orders d. Assist the patient to the bathroom and ask her to void
The nurse would recognize successful aging according to Jung's theory when the nurse notes that a resident at a long-term care facility:
a. takes special care to dress for dinner in a manner that pleases his tablemates. b. asks permission to sit on the patio with other residents. c. asks persons in his hall if his television is bothering them. d. wears a large cowboy hat at all times because he likes it.