The nurse correctly uses percussion when assessing the patient for
1. Hyperinflated lungs.
2. An enlarged heart.
3. A heart arrhythmia.
4. Rebound tenderness.
ANS: 1
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Which of the following actions should the home health nurse take to get in touch with a client if the client apparently has no telephone?
a. Determine whether the client has family members in the area who might be able to get in touch with the client to ask the client to call the agency b. Go to the client's address and discuss making a home visit with the client c. Send a formal letter asking the client to call the agency for an appointment d. Tell the referral source you cannot accept referrals without usable telephone numbers, so this client was not visited
A visitor in the hospital slips and falls. The arm appears dislocated and the visitor is unable to move it. The nurse's first action is to:
a. apply cold packs. b. check range of motion. c. splint the arm. d. apply an Ace® bandage.
A client recovering from thoracic surgery has a chest tube to water seal drainage. The family ambulates the client. What should the nurse teach the client and family at this time?
1. To cough while walking 2. To keep the collection device below the chest 3. To disconnect the collection device when ambulating 4. To walk with a pillow
Which patient statement indicates to the nurse that more teaching regarding early highly active antiretroviral therapy (HAART) is needed?
A) "Early HAART can have negative effects." B) "Early HAART can preserve my immune function." C) "Early HAART can reduce the risk of viral transmission." D) "Early HAART reduces the potential for developing drug-resistant strains."