During the palpation of a patient's chest for expansion, the nurse notices a decrease in expansion of the right side
This finding is consistent with which condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Emphysema
2. Pneumothorax
3. Flail chest
4. Heart failure
5. Influenza
2,3
Rationale 1: Bilateral chest expansion is decreased in emphysema.
Rationale 2: Thoracic expansion is altered on the affected side in patients with pneumothorax.
Rationale 3: One side of the chest would not expand at the correct time if the patient has a flail chest.
Rationale 4: Heart failure does not result in a change in chest expansion.
Rationale 5: Thoracic expansion is not affected by influenza.
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A. Children with fever B. Adults with heart failure C. Children with aortic stenosis D. Adults with hypertension
A nurse is caring for a client with hydramnios. The nurse will watch for:
1. Maternal chest pain, dyspnea, tachycardia, and hypotension. 2. Newborn congenital anomalies. 3. Newborn postmaturity and renal malformations. 4. Maternal prolonged labor.
A nurse is working with persons with serious mental illness. Which of the following recognitions should be made by the nurse?
a. Persons with severe mental illness require institutionalization until they are function-al. b. Inadequate community resources have caused problems with homelessness among this population. c. Serious mental illness originates from childhood events and therapy is ineffec-tive. d. Motivation influences a person's ability to earn a living and purchase necessary med-ications.
The geriatrician has begun an 80-year-old female client on donepezil (Aricept) in order to treat her dementia of Alzheimer's type (DAT). Which of the following teaching points should the nurse provide to the client's husband about her new medication?
A) "Aricept won't cure your wife's dementia of Alzheimer's type, but it has the potential to slow down the progression of the disease." B) "It's important to closely follow the administration schedule for this drug if it is to make your wife recover." C) "This won't result in any improvements to her symptoms of dementia of Alzheimer's type, but it will make her much more compliant and easier to manage." D) "Aricept will help your wife sleep much better at night and stay awake during the day."