Being responsible means accepting that you are the cause of an action
Indicate whether the statement is true or false
True
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The client in a nursing home became confused and climbed out of bed (over the siderails) without assistance, falling onto a vacuum cleaner temporarily left there by the cleaning staff
Which respiratory assessment finding indicates to the nurse that the client may have a flail chest as a result of this incident? A. Wheezes are present and are heard more loudly when the client inhales compared with what is heard on exhalation. B. An area on the client's left chest is sucked in during inhalation and puffs out dur-ing exhalation. C. The client is coughing copious amounts of frothy white sputum. D. The client cannot speak more than six words between breaths.
Each small box on ECG paper represents _____ seconds
Fill in the blanks with correct word
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
a. Behavior b. Cognition c. Affect and mood d. Perceptual disturbances
Which statement is true regarding the recording of data from the history and physical examination?
a. Use long, descriptive sentences to document findings. b. Record the data as soon as possible after the interview and physical examination. c. If the information is not documented, then it can be assumed that it was done as a standard of care. d. The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.