During a physical assessment, the nurse listens for adventitious lung sounds. Crackles are classified as fine, medium, or coarse and are most often heard:
a. during expiration.
b. following expiration.
c. during inspiration.
d. following inspiration.
C
Crackles are usually heard during inspiration.
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Written educational materials should be targeted for which reading level for the general adult population?
A) First to third grade B) Fifth to eighth grade C) Tenth to twelfth grade D) Undergraduate level
A patient is placed in ventilator support with the diagnosis of botulism and failure to thrive. Which nursing actions would be most appropriate for this patient?
Select all that apply. 1. maintaining intravenous fluids at KVO (keep vein open) 2. assessing bowel sounds once a shift 3. referring the patient for a physical therapy consult 4. monitoring total parenteral nutrition infusion 5. assessing urinary output every hour
How is a type V hypersensitivity reaction different from all other types of known hypersensi-tivities?
A. It is cell-mediated rather than antibody-mediated. B. This type of reaction is an immediate response rather than a delayed response. C. The result of the reaction is a stimulatory response to normal tissues rather than an inhibitory response. D. Type V reactions result in more severe tissue-damaging responses than does any other type of hypersensitivity reaction.
An appendectomy is being performed on a patient with appendicitis. What is the correct classification for this surgery?
a. Curative b. Diagnostic c. Urgent d. Radical