The nurse is assessing a client for decreased fremitus. Which of the following conditions are associated with decreased fremitus? (Select all that apply.)
1. Atelectasis
2. Emphysema
3. Pneumonia
4. Pneumothorax
5. Pulmonary fibrosis
6. Pulmonary infarction
1, 3, 5, 6
Atelectasis, pneumonia, pulmonary fibrosis, and pulmonary infarction cause decreased fremitus. Pneumothorax and emphysema would cause increased fremitus.
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An indicator that the suicidal patient is exercising suicide self-restraint is:
a. adherence to antidepressant therapy. b. agreeing to sign a no-suicide contract. c. disclosing a plan for suicide to staff. d. expressing feelings of hopelessness to the nurse.
A moderately depressed client who was admitted to the mental health unit 2 days ago suddenly begins smiling and reports that the crisis is over. The client says to the nurse, "I'm finally cured." The nurse interprets this behavior as a cue to modify the treatment plan by:
A. Suggesting a reduction of medication B. Allowing increased in-room activities C. Increasing the level of suicide precautions D. Allowing the client off-unit privileges as necessary
When considering the pathophysiology of complications associated with orthopedic injuries, which of the following trauma patients has the greatest risk for kidney damage related to acute tubular necrosis?
A. Marie, a 34-year-old who fractured her left femur during a mountain biking accident B. An 84-year-old woman who dislocated her hip from a ground level fall C. Perry who broke his proximal humerus during football practice D. Mrs. Roper who sustained a pelvic fracture when she was broadsided by another vehicle
A 25-year-old woman who is at 38 weeks' gestation with her first pregnancy is embarrassed because of going to the hospital 3 times in the last week for false labor. How should the nurse respond?
1. "Do not feel bad. Everyone makes mistakes sometimes." 2. "It is impossible to distinguish between false labor and true labor." 3. "We will discuss the differences between true labor and false labor so this does not happen again." 4. "It is very difficult to tell the difference between true and false labor. Please know we are here to take care of you whenever you need us."