The nurse is instructing a patient how to breathe during auscultation of the lungs. Instruction by the nurse has been effective if the patient breathes in which manner?
a. Takes rapid shallow breaths
b. Breathes with the mouth open
c. Coughs and then takes a deep breath
d. Takes a deep breath and holds it
B
The nurse instructs the patient to breathe with the mouth open because this facilitates air move-ment and amplifies patient lung sounds. In addition, the nurse instructs the patient to take slow deep breaths. Rapid shallow breaths quickly induce hypocarbia, leading to lightheadedness and fatigue, and impair auscultation of breath sounds because the sounds are too faint to assess. Coughing and deep breathing are instructions to facilitate the mobilization of pulmonary secre-tions. Holding the breath impairs the nurse's ability to auscultate air movement for a respiratory assessment.
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The clinic nurse is caring for a 55-year-old farmer who has been prescribed an antiemetic for an inner ear problem. The patient states "I need to get back to work." With this patient especially, what will the nurse caution him about?
A) Weight gain B) Suicidal ideation C) Diarrhea D) Photosensitivity
The nurse is assessing a patient's spirituality. What does the nurse recognize as one of the most important aspects of a belief system, according to Sharon Parks?
1. It is based on a foundation of truth and evidence as proved by science. 2. It is based on a foundation that is strong enough to handle the changes in religious beliefs. 3. It is based on a foundation that is strong enough to handle the changes and challenges of life. 4. It is based on a foundation of religious belief and practices as performed by those who follow it.
A psychiatric technician mentions that little of what takes place on the behavioral health unit seems
to be theory based. The nurse can enlighten the technician by citing the fact that many of Sullivan's theoretic constructs are used in a. the ongoing use of restraint and seclusion as behavior management tools. b. the structure of the therapeutic milieu of most behavioral health units. c. assessment tools based on age-appropriate versus arrested behaviors. d. the method nurses use to determine the best sequence for nursing actions.
Alternative therapies are used:
a. To replace traditional or orthodox treatments b. Primarily in the treatment of disease c. With conventional treatments d. Only by uneducated people