The nurse caring for a client diagnosed with pleurisy auscultates the lungs for which of the following anticipated findings?

1. Friction rub heard in lower left anterior chest
2. Friction rub heard in dorsal upper left chest
3. Friction rub heard in middle left lobe
4. Rhonchi noted in the left bronchi


1
Rationale: Friction rubs most often are heard in the lower anterior lateral chest. Rhonchi can be noted in any area of the lung, but generally are not associated with pleurisy.

Nursing

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A nursing student would like to become involved by working at a nursing center. Which of the following would be an appropriate role for a nursing student?

a. Leader b. Follower c. Advocate d. Researcher

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MC A priority nursing intervention following a gastroscopy is to

A. Observe urine output every 2 hours. B. Medicate frequently for pain. C. Assess for gag reflex for 2—3 hours. D. Force fluids to eliminate the contrast medium.

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The nurse is caring for a patient who takes 6 tablets of methotrexate once every week on Fridays. How many mg of methotrexate does the patient take per dose?

Trexall Methotrexate tablets, USP 2.5 mg tablets only a. 10 mg b. 15 mg c. 20 mg d. 25 mg

Nursing

When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works by selective enzyme interaction. Which of these processes describes selective enzyme interaction?

a. The drug alters cell membrane permeabil-ity. b. The drug's effectiveness within the cell walls of the target tissue is enhanced. c. The drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor. d. The drug binds to an enzyme molecule and inhibits or enhances the enzyme's ac-tion with the normal target cell.

Nursing