The nurse is assessing a patient with an endotracheal tube and notes decreased breath sounds on the left. Which condition may cause this?
1. endotracheal tube in right main stem bronchus
2. right pneumothorax
3. partial obstruction of the endotracheal tube
4. left lung infiltrate
5. high pulmonary pressures
Correct
4
Rationale: A large infiltrate or mass would decrease breath sounds in the affected lung. A right pneumothorax would present with decreased sounds on the right. A partially obstructed endotracheal tube or high pulmonary pressures would affect both sides equally.
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______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem
ANS:
Your client has pediculosis capitis. You can treat this by doing which of the following?
1. removing nits from hair 2. massaging the client's hair and scalp with a pediculocide 3. bathing the client with soap and water 4. applying a pediculocide and leaving it on for 24 hours
The nurse notes that assessment data indicate a change in a client's condition. What should the nurse ask before changing this client's plan of care?
1. How difficult will it be to change the care plan? 2. Are the new data complete? 3. Are the new data accurate? 4. Do the new data require a change in the care plan? 5. Will the primary medical provider agree with the need to alter the care plan?
The nurse suspects that the patient has not been taking his prescribed antihypertensive medication because the patient's blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance?
1. "Taking medication is difficult for many people. What are some of your concerns about the medication?" 2. "Your blood pressure is really high; do you realize the serious consequences of not taking your medication?" 3. "I really doubt that you are taking your medication. What would you think about talking to the doctor?" 4. "You are one of my favorite patients and I want you to be safe. Are you really taking your medication?"