Upon auscultation of breath sounds, a nurse hears popping noises on inspiration and expiration. These sounds are indicative of which of these conditions?
a. fluid accumulation in the lungs
b. inflammation of the pleura
c. obstructed or narrowed airways as in bronchospasm
d. obstruction due to secretions blocking the airway
A
Adventitious breath sounds include fine or coarse crackles, sonorous and sibilant wheezes, pleural friction rub, and stridor; these are abnormal breath sounds present in various respiratory conditions, such as chronic obstructive pulmonary disease or tuberculosis.
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A hospitalized patient complains of bilateral leg pain and asks the nurse to massage her legs. One calf is noticeably larger than the other and is warm and slightly reddened. What action by the nurse is best?
a. Only massage the leg with normal assessment findings. b. Massage the front of both legs gently, and avoid the posterior surfaces. c. Perform a Homan's test to both legs prior to massaging either of them. d. Educate the patient on why a massage would be contraindicated.
A patient with a spinal cord injury (SCI) has a nursing diagnosis of Risk for Ineffective Tissue Perfusion related to the effects of neurogenic shock
The nurse includes which intervention in the patient's plan of care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fit the patient for an abdominal binder and thigh-length compression stockings. 2. Monitor administration of atropine and other vasoactive agents as ordered or by protocol. 3. Administer anticoagulant medication as ordered. 4. Measure and record the diameter of the calf every shift. 5. Measure and record intake and output.
In terms of patient safety and ease of drug administration, identify the most convenient route of drug administration for a patient with a busy lifestyle and a hectic schedule.
A. Oral administration B. Intramuscular administration C. Intravenous administration D. Topical administration
A patient complains of dull, aching pain in the lower back. The nurse plans to provide relief from which kind of pain?
1. Acute pain 2. Somatic pain 3. Neuropathic pain 4. Visceral pain