Upon inspection of the respiratory system, the nurse will assess for
A) tactile fremitus.
B) use of accessory muscles of respiration.
C) subcutaneous emphysema.
D) a tympanic drumlike sound over the lungs.
B
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To teach a pregnant woman effleurage, which of the following would you include?
A) Lightly tracing a pattern on her abdomen with her fingertips. B) Massaging the uterine fundus at the peak of each contraction. C) Holding her breath and pushing with contractions. D) Exhaling into a paper bag to prevent dizziness.
The nurse assesses a client suspected of having chronic bronchitis. It would be most important for the nurse to question the client about which of the following?
A) pain location B) medication history C) occupation history D) characteristics of the cough
The nurse practices "here and now" focus on problem identification, with an emphasis on quickly understanding the context in which the problem is embedded during which of the following phases of the nurse-client relationship?
a. Orientation b. Preinteraction c. Termination d. Working
Which postbronchoscopy assessment observed by the nurse in a 54-year-old woman would require immediate intervention?
a. Coughing up a moderate amount of dark, blood-tinged mucus b. Negative gag reflex 15 minutes after pro-cedure c. Presence of a stridor in the upper airway d. Difficulty to arouse with initial disorienta-tion