The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope to assess this patient?
1. intercostal space, sixth rib near the sternum
2. intercostal space, fourth rib near the axillary line
3. below the scapula
4. near the right clavicle
Correct Answer: 4
The apex of each lung lies just below the clavicle, whereas the base of each lung rests on the diaphragm. The scapulae are located posterior to the lungs.
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A client is receiving estrogen therapy but also takes phenytoin for seizure control. The nurse would alert the client to the possibility of which of the following?
A) Potential for blood clots B) Increased risk for infection C) Possibility of breakthrough bleeding D) Increased risk for seizures
A patient who has epilepsy will begin an anitconvulsant medication. The patient asks the nurse how long the medication will be necessary. How will the nurse respond?
a) "The medication is usually taken for a lifetime." b) " The medication will be given until you are seizure free." c) "You will need to take the medication for 3 to 5 years." d) "You will take the medication as needed for seizure acitvity."
A nurse administering 30 mL of magnesium hydroxide (milk of magnesia) tells the patient to expect a bowel movement in which amount of time?
A. In 1 to 3 days B. In 2 to 4 hours C. In 6 to 12 hours D. In 15 minutes to 1 hour
Guidelines for communicating with a patient whose ability to speak and understand Eng-lish is questionable include (select all that apply):
a. Use interpreters whenever possible. b. Allow sufficient time for patient to formulate response. c. Recruit a family member as an interpreter whenever possible. d. Use nonverbal communication whenever it is considered appropriate. e. Maintain eye contract if such interaction is accepted by the patient's culture.