Upon auscultation of breath sounds, a nurse hears a high pitched, whistlelike sound both on inspiration and expiration. These sounds are indicative of which of these conditions?
a. fluid accumulation in the lungs
b. inflammation of the pleura
c. obstructed or narrowed airways as in bronchospasm
d. obstruction due to secretions blocking the airway
C
Auscultation of the duration, pitch, and intensity of breath sounds at different locations provides additional information about respiratory status. A high-pitched, whistlelike sound both on inspiration and expiration may be caused from an obstructed or narrowed airway as in bronchospasm.
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A client asks the nurse about using the herb ginkgo to improve his memory and thinking. Which of the following would the nurse need to integrate into the response about this herb? Select all that apply
A) There is scientific proof that this herb is effective. B) The effects may take at a minimum 4 weeks to occur. C) Mild GI discomfort and headache may occur with the herb. D) The herb needs to be taken at least four times a day to be effective. E) The herb if taken in large doses rarely leads to problems.
The nurse is assisting with the discharge of a client who will be taking narcotics at home for 1 week. What should the nurse include when teaching the client about this medication?
1. Methods to prevent constipation 2. Slowly decrease the dose at home. 3. Stop the medication if desired. 4. Exercise caution when driving.
The ED nurse is planning the care of a patient who has been admitted following a sexual assault. The nurse knows that all of the nursing interventions are aimed at what goal?
A) Encouraging the patient to gain a sense of control over his or her life B) Collecting sufficient evidence to secure a criminal conviction C) Helping the patient understand that this will not happen again D) Encouraging the patient to verbalize what happened during the assault
In preparing a medication for intermittent infusion, you will reconstitute it according to the instructions
on the label or in the package insert. In addition, you will need to calculate the amount to administer and flow rate. Indicate whether the statement is true or false