Assessment of the spine's range of motion is done during which assessment?
a. neurological system c. musculoskeletal system
b. back, and posterior and lateral thorax d. anterior thorax
C
While assessing the musculoskeletal system, assess the spine's range of motion.
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A pregnant woman asks the nurse why her fetus has a different circulation pattern than hers. In planning a response, the nurse is guided by the principle that fetal:
A) blood is thicker than adults and needs different pathways B) circulation carries highly oxygenated blood to vital areas first C) blood has a higher oxygen saturation and circulates slower D) heart rates are rapid and circulation time is double that of adults
Which removes mucus?
a. Coughing b. Deep breathing c. Incentive spirometry d. Surgery
The nurse is reviewing a client's lab values, which indicate normal serum osmolality. Which intravenous solutions will not cause a fluid shift in this client?
1. Colloids 2. Isotonic solutions 3. Hypertonic solutions 4. Hypotonic solutions
A client in respiratory distress and has see-saw respirations with the chest and abdomen alternately rising, blue discoloration of the fingertips, and noisy difficult respirations. How should the nurse describe the client's condition when calling the health care provider?
1. Client is tachypneic with costal breathing and cyanosis. 2. Client is bradycardic with diaphragmatic breathing and cyanosis. 3. Client is demonstrating diaphragmatic breathing, and is dyspneic and cyanotic. 4. Client is demonstrating diaphragmatic breathing with audible Korotkoff's sounds.