The nurse is assessing a client's respirations. Characteristics of costal breathing include: Standard Text: Select all that apply
1. Use of external intercostal muscles.
2. Contraction of the diaphragm.
3. Use of accessory muscles.
4. Movement of the abdomen.
5. Movement of the chest upward and outward.
1,3,5
Rationale: Thoracic (costal) breathing involves the use of external intercostal muscles.
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A middle-aged woman sustained an elbow fracture in a bicycle crash and has required reduction and fixation to aid healing. The nurse is aware of the need for vigilant neurovascular assessment
How should the nurse assess the function of the patient's ulnar nerve? A) Ask the patient to clench and unclench her fist several times. B) Ask the patient to rotate her hand at the wrist. C) Touch the back of the patient's hand with a pen and ask if the patient is able to feel the sensation. D) Ask the patient to spread her fingers as widely as possible.
The nurse performs digital removal of feces for a client. Which client diagnosis cues the nurse to assess the client more frequently than usual during the procedure?
1. Abdominal pain 2. Atrial fibrillation 3. Urinary infection 4. Diabetes mellitus
A nurse is discussing the advantages of standardized documentation forms in the nursing information system. Which advantage should the nurse describe?
a. Varied clinical databases b. Reduced errors of omission c. Increased hospital costs d. More time to read charts
You are going to apply a condom catheter. The catheter is:
a. Rolled onto the penis b. Applied in a spiral fashion around the pe-nis c. Inserted into the urethra d. Secured with adhesive tape