ALRs usually require that residents
a. Be able to dress themselves
b. Be able to eat without help
c. Be mobile
d. Have transportation
C
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Bronchial breath sounds
A) are heard in the periphery of the lungs. B) are heard in areas of consolidation. C) are low-pitched and without a noticeable pause between inspiration and expiration. D) are most often heard during asthma attacks.
A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
A) Use a pure vinegar douche daily. B) Use skin protectants containing zinc oxide. C) Take sitz baths frequently. D) Avoid yogurt with active lactobacilli cultures.
A child who ingested a handful of aspirin tablets from a medicine cabinet at home is brought to the emergency department. The nurse caring for the child notes a respiratory rate of 48 breaths per minute
The nurse understands that this child's respiratory rate is the result of the body's at-tempt to compensate for: a. metabolic acidosis. b. metabolic alkalosis. c. respiratory acidosis. d. respiratory alkalosis.
When asked to define the purpose of diagnostic reasoning, the best nursing response is:
1. "Diagnostic reasoning is the foundation of the second step of the nursing process; Nursing Diagnosis." 2. "The diagnostic reasoning process flows from the assessment process and includes decision-making steps." 3. "Diagnostic reasoning includes data clustering, identifying client needs and for-mulating the diagnosis or problem." 4. "Diagnostic reasoning involves using the assessment collected on a specific client to logically arrive at an appropriate nursing diagnosis."