The nurse is performing an examination of the thorax and lungs on a 30-year-old patient. Which of the following examinations does the nurse evaluate to be a normal adult finding?
a. The thorax is barrel shaped.
b. The costal margin is greater than 90?.
c. The accessory muscles are used during inspiration and expiration.
d. The ribs articulate with the sternum at a 45? angle.
D
The thorax is generally slightly elliptical in shape. The costal angle should be less than 90? during exhalation and at rest. No accessory muscles should be used during normal respirations. The ribs should articulate with the sternum at a 45? angle .
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The patient is scheduled for coronary artery bypass surgery using the off-pump technique. During preoperative teaching, the nurse explains that using the off-pump procedure has what advantage over the on-pump procedure?
A) There is a lower risk of a cerebral embolus. B) The patient can anticipate a shorter hospital stay. C) There will be less need for anticoagulation therapy. D) The procedure will be less painful.
An employee has gone through the steps of the grievance process without resolution. The employee asks the union representative, ?What can we do?? Which of the following answers by the representative would be appropriate?
1. ?We will arrange another meeting with administration to discuss your options.? 2. ?The next step is arbitration.? 3. ?The next step is to file a grievance with the hospital association.? 4. ?We have exhausted all measures.?
A client is ordered fluoxetine (Prozac) for mild depression. The nurse would monitor for which side effect(s)?
a. Dry mouth and eyes b. Extrapyramidal syndrome c. Leukopenia (decrease in WBCs) d. Nervousness, restlessness, and insomnia
A nurse promotes alliances among organizations for a common purpose. This is an example of which of the 17 public health interventions?
1. Health teaching 2. Coalition building 3. Surveillance 4. Referral and follow-up