To count the ribs and the intercostal spaces, you begin by palpating the reference point of the:
a. distal point of the xiphoid.
b. manubriosternal junction.
c. suprasternal notch.
d. acromion process.
B
The angle of Louis, the junction of the manubrium and the sternum, corresponds to the second rib, the reference point for counting ribs and intercostal spaces.
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The nurse is providing care to a client who is diagnosed with malnutrition. When planning care for this client, which laboratory tests does the nurse anticipate will require monitoring?
Select all that apply. A) Culture and sensitivity B) Total protein C) Prealbumin D) Arterial blood gases E) Cholesterol
A nurse in a long term care facility is concerned that a 94-year-old resident with dementia is los-ing weight
Upon assessment, the nurse notes that the resident, who is able to feed herself independently, consumes less than 50% of each of her meal trays. Which of the following strategies can the nurse utilize to improve this resident's intake? (Select all that apply.) a. Assign a nursing assistant to feed the res-ident. b. Assign a nursing assistant to sit with the resident as the resident eats. c. Serve the resident finger foods. d. Serve the resident one dish at a time. e. Alter the dining ambience to reduce dis-tractions.
A nurse plans to collect data about morbidity and mortality among migrant workers in a commu-nity. Which of the following barriers is the nurse most likely to encounter?
a. Difficulty securing a stable population b. Lack of resources c. Unwilling participants d. Fear of deportation
A nurse must collect a stool specimen from a client. Among the supplies and equipment the nurse keeps ready for the procedure are wooden tongue blades. What is the purpose of these blades?
A) To collect stool specimen that is free of urine B) To transfer a portion of the feces to the container C) To prevent contamination of the stool specimen D) To scoop out a stool sample from the client's rectum