During a physical assessment, the nurse listens for adventitious lung sounds. Crackles are classified as fine, medium, or coarse. When are these sounds most often auscultated?
a. During expiration
b. Following expiration
c. During inspiration
d. Following inspiration
ANS: C
Crackles are usually heard during inspiration.
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A nurse is providing care for a patient with a diagnosis of late-stage Alzheimer's disease. The patient has just returned to the medical unit to begin supplemental feedings through an NG tube
Which of the nurse's assessments addresses this patient's most significant potential complication of feeding? A) Frequent assessment of the patient's abdominal girth B) Assessment for hemorrhage from the nasal insertion site C) Frequent lung auscultation D) Vigilant monitoring of the frequency and character of bowel movements
The spouse of a patient who is newly diagnosed with Alzheimer's disease asks the nurse if medications will prevent the need for nursing home care. Which response by the nurse is correct?
a. "Drugs to treat Alzheimer's disease may slow the progression of memory loss." b. "Drugs may be effective to stop the pro-gression of the disease if they are initiated early in the disease." c. "Medications to treat Alzheimer's disease are effective for treating core symptoms of the disease." d. "Medications for Alzheimer's disease are effective in reducing cognitive impair-ment."
The nurse explains to the client that the morning stiffness of arthritis may be decreased by:
a. giving the largest dose of aspirin at bedtime. b. giving a single large dose of aspirin upon awakening. c. dividing the daily dose of aspirin evenly over 24 hours. d. combining aspirin with other nonsteroidal anti-inflammatory agents.
The esophagus is a structure that
a. produces and releases digestive enzymes but not hormones. b. does not produce digestive enzymes but does release hormones. c. does not produce or release digestive en-zymes or hormones. d. produces only small amounts of digestive enzymes or hormones.