During a history, a nurse notices a client is short of breath, is using pursed-lip breathing, and maintains a tripod position. Based on these data, what abnormal finding would the nurse expect to find during the examination?

a. Increased tactile fremitus
b. Inspiratory and expiratory wheezing
c. Tracheal deviation
d. An increased anteroposterior diameter


ANS: D

Nursing

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A newly hired OB nurse with several years of experience is hired into a higher pay scale than a currently employed OB nurse who has 3 years experience. The manager explains to the nurse that this effect is referred to as:

1. Wage stagnation. 2. Salary compression. 3. Salary acceleration. 4. Wage inadequacy.

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A patient with an eye injury requires an ocular examination to detect the presence of a foreign body. The nurse anticipates that which drug will be used for this examination?

a. Phenylephrine (Neo-Synephrine) b. Fluorescein sodium (AK-Fluor) c. Atropine sulfate (Isopto Atropine) d. Olopatadine (Patanol)

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The client who is on transmission precautions tries to leave the isolation room because of loneliness despite repeated instructions to remain in the room. Which should the nurse implement as a client advocate?

1. Allow visitors to remove masks while in the client's room. 2. Set specific times when the nurse stays in the client's room. 3. Remind the client that the isolation is for the client's benefit. 4. Leave the door open slightly so the client can see into hallway.

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The nurse observes white patches on the tympanic membrane. Which question should the nurse ask the client that is most relevant to the finding?

A. "Are you experiencing any pain in your ears?" B. "Are you currently on any medication?" C. "Do you have a history of ear infections?" D. "Have you experienced any recent hearing loss?"

Nursing