A client arrives at the physician's office stating 2 days of febrile illness, dyspnea, and cough. Upon assisting the client into a gown, the nurse notes that the client's sternum is depressed, especially on inspiration

Crackles are noted in the bases of the lung fields. Based on inspection, which will the nurse document? A) The client has a funnel chest.
B) The client has chronic respiratory disease.
C) The client has pneumonia in the bases.
D) The client needs a cough suppressant.


A
Feedback:
The question asks for a documentation based on inspection. A funnel chest, known as pectus excavatum, has the sternum depressed from the second intercostal space, and it is more pronounced on inspiration. The nurse would not diagnose chronic respiratory disease or pneumonia. The client would also not prescribe a cough suppressant.

Nursing

You might also like to view...

A client in the orthopedic clinic has a self-reported history of osteoarthritis. The client reports a low-grade fever that started when the weather changed and several joints started "acting up," especially both hips and knees. What action by the nurse is

best? a. Assess the client for the presence of subcutaneous nodules or Baker's cysts. b. Inspect the client's feet and hands for podagra and tophi on fingers and toes. c. Prepare to teach the client about an acetaminophen (Tylenol) regimen. d. Reassure the client that the problems will fade as the weather changes again.

Nursing

The nurse performing the health interview of a patient with a new onset of periorbital edema has completed a genogram, noting the health history of the patient's siblings, parents, and grandparents

This assessment addresses the patient's risk of what kidney disorder? A) Nephritic syndrome B) Acute glomerulonephritis C) Nephrotic syndrome D) Polycystic kidney disease (PKD)

Nursing

A nurse is providing education to the other nurses on the unit on how to differentiate between a myasthenic crisis and a cholinergic crisis. To show that they understand the difference, the nurses could state that they should

a. ask the patient about occupation and family history. b. assess serum levels of the cholinesterase inhibitors. c. assess the patient about muscle weakness. d. administer edrophonium (Tensilon) and monitor the response.

Nursing

Which specialized method(s) is (are) used in knowledge discovery and data mining?

a. Stratified sampling b. Conceptual analytic methods c. Selection of the optimal subset of variables/features for use in modeling d. Machine learning

Nursing