The nurse is auscultating a patient's chest for breath sounds and is unsure if the sounds are crackles or simply the friction of the stethoscope's diaphragm against the patient's chest hairs. What should the nurse do?
A) Move the location of the diaphragm slightly and listen for a few more breaths.
B) Prioritize the assessment findings from percussion and inspection.
C) Move the diaphragm slowly across the surface of the patient's skin while auscultating.
D) Auscultate the patient's lateral thorax rather than his anterior thorax.
A
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A patient comes to the emergency department with complaints of back pain. After interviewing this patient, the nurse sees that he is a little cyanotic and has problems following the conversation. What should the nurse conclude about this patient?
a. The patient is sleepy after being up all night. b. The patient is bored with this whole process. c. The patient has signs of being overdosed. d. The patient is on asthma medication.
The nurse is preparing to administer furosemide (Lasix) to a client with severe heart failure. What lab study should be of most concern for this client while taking Lasix?
A) BNP of 100 B) Sodium level of 135 C) Hemoglobin of 12 D) Potassium level of 3.1
A laboring woman is lying in the supine position. The most appropriate nursing action is to
a. Ask her to turn to one side. b. Elevate her feet and legs. c. Take her blood pressure. d. Determine if fetal tachycardia is present.
The instillation of ophthalmic beta blockers can cause _______ and _____________ because of their rapid absorption
Fill in the blank(s) with correct word