The student nurse is working with a client who has asthma. The primary nurse tells the student that wheezes can be heard on auscultation. Which of the following should the student expect to hear?

a. Coarse crackles and bubbling
b. High-pitched musical sounds
c. Dry, grating noises
d. Loud, low-pitched rumbling


B
Wheezes are high-pitched musical noises that sound like a squeak. Wheezes are heard continu-ously during inspiration or expiration, and are usually louder on expiration.
Coarse crackles and bubbling are not descriptive of wheezes.
Dry, grating noises are heard with a pleural friction rub.
Loud, low-pitched rumbling is characteristic of rhonchi.

Nursing

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The client is being interviewed by the nurse and is asked what symptoms they have had to bring them to the clinic. Which of the following data collected is considered subjective?

A) Blood pressure of 110/60 mm Hg B) Client states, "My chest feels tight." C) Bowel sounds present in 4 quadrants D) Client's skin is warm and dry.

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Insight-oriented therapies include all EXCEPT which of the following?

a. psychodynamic therapy b. cognitive-behavioral therapy c. interpersonal therapy d. psychoanalytic therapy

Nursing

The nurse is caring for a client with a large venous injury that has just begun to show signs of healing. The nurse contacts the healthcare provider and asks for a change from the chemical method of debridement for which reason?

A. Chemical debridement may damage the tissue that has just begun to heal. B. Chemical debridement is more painful to venous injuries that have begun to show signs of healing. C. Chemical debridement is ineffective for venous injuries that have just begun to show signs of healing. D. Chemical debridement is more useful with arterial injuries than venous injuries.

Nursing

The nurse is assessing a dying patient's spiritual beliefs about death. Which acronym represents topics the nurse can use to help with this assessment process?

A. FICA B. DABDA C. ABC D. RACE

Nursing