When assessing lung sounds, the nurse places the stethoscope over the upper sternum and hears medium-pitched sounds equally on inspiration and expiration. These sound would be considered:
a. bronchial sounds. c. upper airway sounds.
b. vesicular sound. d. bronchovesicular sounds.
ANS: D
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A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?
a. The initial site dressing is 3 days old. b. The PICC was inserted 4 weeks ago. c. A securement device is absent. d. Upper extremity swelling is noted.
The health care institution has organized a committee to review and revise the strategic plan. As part of this work, committee members have been asked to submit a philosophy statement for consideration
Which statement meets the requirements of a philosophy? 1. "We will increase client satisfaction by 15 percent." 2. "We will increase productivity by 10 percent on the surgical floor." 3. "We believe in honest communication." 4. "We believe clients are most important."
What is the earliest recognizable clinical manifestation(s) of cystic fibrosis (CF)?
a. Meconium ileus b. History of poor intestinal absorption c. Foul-smelling, frothy, greasy stools d. Recurrent pneumonia and lung infections
What is a common cause of respiratory acidosis?
What will be an ideal response?