The nurse instructs the patient to perform which maneuver while the nurse vibrates the patient's chest?
A) Valsalva maneuver
B) Prolonged pursed-lip exhalation
C) Quick deep breaths
D) Shallow exhalations
B
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The home health nurse is admitting a client at 18 weeks who is pregnant with twins. Which nursing action is most important?
1. Teach the client about foods that are good sources of protein. 2. Assess the client's blood pressure in her upper right arm. 3. Determine whether the pregnancy is a result of infertility treatment. 4. Collect a cervicovaginal fetal fibronectin (fFN) specimen.
A nurse and a nursing student are reviewing the care of a 30-kg patient who will receive intravenous aminophylline. Which statement by the student indicates an understanding of the administration of this medication?
a. "After the loading dose has been given, the patient will receive 6 mg/kg/hr." b. "Dosing is titrated based on the serum theophylline levels." c. "If the patient's serum theophylline level is less than 15 mcg/mL, the rate should be reduced." d. "The patient will receive a loading dose of 180 mg over 5 minutes."
A client is in the emergency department with a suspected kidney stone and is scheduled for an intravenous pyelogram (IVP). Pre-procedure, which action is most important for the nurse to do? The nurse should
a. ask the client about iodine allergies. b. administer a laxative. c. document the history of the client's complaint. d. insert a Foley catheter.
You are the nurse assigned to care for a child with acute glomerulonephritis. After receiving report and doing an initial assessment, you check the lab reports
You would not be surprised to find which of the following signs and symptoms consistent with the diagnosis of acute glomerulonephritis? a. pale yellow urine in copious amounts, low specific gravity, increased glomerular filtration rate b. hypotension, dry skin, decreased serum sodium levels, and decreased potassium c. hematuria, dependent edema, elevated serum sodium, diminished glomerular filtration rate, proteinuria d. ketone bodies in the urine, diminished serum sodium, orthostatic hypotension