The nurse identifies abnormal breath sounds during an assessment. Which sounds should the nurse document as abnormal? Select all that apply.
A. Bronchial.
B. Vesicular.
C. Crackles.
D. Wheezes.
E. Bronchovesicular.
Answer:
C. Crackles.
D. Wheezes.
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A client experiencing fatigue, pallor, and dyspnea on exertion has a complete blood count drawn. Which red blood cell disorder should the nurse anticipate the client is experiencing?
A) Polycythemia B) Erythropoiesis C) Herpes simplex D) Anemia
While making a visit to the home of a family with a school-age child, the nurse observes a hunting rifle leaning against the wall in the dining room. Which nursing diagnosis should the nurse use to guide interventions for the family at this time?
A) Anxiety B) Risk for injury C) Health-seeking behaviors D) Readiness for enhanced parenting
The nurse is caring for an infant born with a congenital anomaly. Which of the following factors is likely to have the most influence on the mother's ability to cope with the infant's handicap?
A) The mother's age B) The gender of the infant C) The parent's amount of support D) The fact that this is a mental and not a physical challenge
An individual who has been physically abused says, "When I called the police, I just wanted my spouse to stop shoving me around and kicking me. I didn't want anyone to get in trouble
It's easy to get angry with me because I spend too much money.". Which comment by the nurse would be most therapeutic for this individual? a. "You feel your spouse was justified in the abuse because you overspent?" b. "Tell your spouse that if this happens again, I will report it to the police.". c. "Your spouse abuses you when you overspend. So you think it will stop if you do not spend money?" d. "I can understand that you don't want to press charges, but your spouse needs help controlling anger.".