The nurse coming on duty received in report that the client's lung sounds were clear to auscultation in all lobes. The nurse coming on heard moderate-intensity and moderate-pitch "blowing" sounds between the scapulae and lateral to the sternum at the first and second intercostal spaces when doing her own assessment. Which should the nurse do next?
A. Encourage the client to cough and deep breathe.
B. Notify the healthcare provider of abnormal breath sounds.
C. Document assessment findings as normal breath sounds.
D. Raise the head of the bed to allow maximum air excursion.
Answer: C
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A nurse assesses a client who is recovering from a transsphenoidal hypophysectomy. The nurse notes nuchal rigidity. Which action should the nurse take first?
a. Encourage range-of-motion exercises. b. Document the finding and monitor the client. c. Take vital signs, including temperature. d. Assess pain and administer pain medication.
Narcotics have been missing from the narcotic count every other weekend and on Fridays. Several employees work all of these shifts. Ellen is often late and has been very "touchy" lately
You have tried to talk with her, but she is not willing to talk with you. Your first step should be to: A. Notify the State Board of Nursing. B. Discuss the situation at a staff meeting. C. Bring your observations to your nurse manager. D. Confront Ellen while she is drawing up medications.
The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person's ex-pense. He is referred to as
1. a nerd. 2. a psychotic. 3. a psychopath. 4. narcissistic.
When describing the use of anti-infectives to treat urinary tract infections, which of the following would the nurse identify as the most common structure affected?
A) Bladder B) Kidney C) Prostate gland D) Urethra E) Ureters