The nurse is planning to assess the effectiveness of a patient's coughing and deep breathing exercises. What assessment will provide the nurse with information on the effectiveness of the patient's coughing and deep breathing?
A) Assessing activity tolerance
B) Checking nail bed perfusion
C) Auscultating the lungs
D) Monitoring pulse
Ans: C
Feedback: The most effective way to determine if deep breathing and coughing have been effective is to auscultate the lungs.
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A 34-year-old client comes to the clinic with concerns about an enlarged left testicle and heaviness in his lower abdomen. Which diagnostic test would the nurse expect to be ordered to confirm testicular cancer?
a. Alpha-fetoprotein (AFP) b. Prostate-specific antigen (PSA) c. Prostate acid phosphatase (PAP) d. C-reactive protein (CRP)
A patient asks the nurse to explain how sleep occurs. The nurse explains to the patient that the physiology of sleep is a complex process. However, in simple terms, what is the nurse's best response?
a. Circadian sleep rhythm controls sleep. b. Sleep occurs when a person's basal metabolic rate falls. c. Sleep is a dreaming process. d. Interrelated mechanisms of the brain control wake and sleep cycles.
A client has a diagnosis of advanced chronic obstructive pulmonary disease (COPD). Which of the following care settings would be MOST appropriate for this client?
a. respite care c. palliative care b. long term care d. home health care
While doing admission assessments, the nurse finds that Mrs. S does not drink; Mrs. X enjoys a glass of wine at supper and bedtime;
Mr. Y has been drinking at least a six-pack of beer every day for the past 20 years and has been ordered by his doctor; and Mr. Z has a cocktail when he goes out to dinner, which is about once a month. Which clients would be considered at nutritional risk? A) Mrs. X and Mr. Z C) Mrs. X and Mr. Y B) Mrs. S and Mr. Y D) Mrs. S and Mr. Z