In which position can the mediastinal crunch (Hamman sign) best be heard?
a. A supine position
b. Lying on the left side
c. Sitting completely upright
d. With the head elevated 30 degrees
B
The Hamman sign occurs with mediastinal emphysema. The adventitious breath sounds are syn-chronous with the heartbeat and are best heard when the patient leans to the left or lies down on the left side (these maneuvers bring the heart muscle closer to the chest wall).
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Which of the following is a positive sign of pregnancy?
a. Fetal movement felt by the woman b. Amenorrhea c. Breast changes d. Visualization of fetus by ultrasound
A group of nursing students are scheduled to present a program on healthy hearts to various community groups, with a daycare center being the first location. What of the following advice should be given to them by their instructor?
a. Base the program on the audience's development and maturity. b. Bring (borrow if necessary) a model of the heart to help explain its functioning. c. Focus on entertaining the learners. d. Have lots of handouts to reinforce the lesson.
The clinic nurse is assessing how the prenatal client is meeting developmental tasks using Rubin's tasks, including which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Ensuring safe passage through pregnancy, labor, and birth. 2. Turning in on oneself to focus on the child. 3. Seeking commitment and acceptance of self as mother to the infant. 4. Completing the tasks of nesting at the appropriate time. 5. Seeking acceptance of the child by others.
Immediately after the operation, the patient is usually transferred to the
A) recovery room. B) emergency room. C) patient unit. D) coronary care unit.