A client is diagnosed with a large pneumothorax. The percussion note the nurse would expect to find is:
1. dullness.
2. flatness.
3. resonant.
4. tympany.
4
Air-filled areas have a percussion note of tympany. A resonant note can be elicited by percussing a patient with normal lungs. Flatness is heard over bone and dullness is heard over the organs.
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The nurse believes a client is having difficulty coping with current illness and hospitalization. Which assessment question would best help the nurse identify the client's coping ability?
1. Who is your closest friend? 2. What social groups do you belong to? 3. What is your birth order in your family? 4. Who do you call when you need help?
The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible
How should the nurse respond? A) "There is a good chance that you will be able to breastfeed almost immediately." B) "Breastfeeding is likely to be possible, but check with the surgeon." C) "After the suture line heals, breastfeeding can resume." D) "We will have to wait and see what happens after the surgery."
A nursing diagnosis relevant for both the client with depression and the client with acute mania is
a. deficient diversional activity. b. defensive coping. c. sleep pattern disturbance. d. excess fluid volume.
How does the DSM-IV-TR define binge eating?
A) "Eating a great deal of food in a short period of time and then returning to normal intake." B) "Eating in a discrete period of time (usually less than 2 hours) an amount of food that is definitely larger than most people would eat under similar circumstances." C) "Eating an overabundance of a specific type of food (sweets, fruits, vegetables) in a short period of time." D) "Periodically overindulging in a specific type of food (usually sweets or fast food) in a short period of time and then returning to normal dietary intake."