During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation?
a. In an obese patient
b. When part of the lung is obstructed or collapsed
c. When bulging of the intercostal spaces is present
d. When accessory muscles are used to augment respiratory effort
ANS: B
Unequal chest expansion occurs when part of the lung is obstructed or collapsed, as with pneumonia, or when guarding to avoid postoperative incisional pain.
You might also like to view...
A normal glomerular filtration rate is:
a. less than 80 mL/min. b. 80 to 125 mL/min c. 125 to 180 mL/min d. more than 189 mL/min
A nurse is assigned to six acutely ill patients. The nurse is very careful with administering all medications and treatments accurately and safely to all clients. Legally, which of the following should the nurse be most concerned with?
a. Hear no evil, see no evil, speak no evil. b. Haste makes waste. c. If it wasn't charted, it wasn't done. d. A bird in the hand is worth more than two in the bush.
Practice guidelines are formulated to:
a. establish evidence of appropriate psychiatric care based on anecdotal data collected only on the unit where you are using the practice guidelines. b. promote consistency of patient care for all patients with a particular need regardless of age or DSM-IV-TR diagnosis. c. identify treatments that are safe and effective for a particular psychiatric disorder based on collected data. d. minimize the need for nurses to continuously update the guidelines after they have been established.
Which statement accurately describes a characteristic of osteosarcoma?
a. Slow-growing tumor that begins in the bone marrow and infiltrates the trabeculae b. Solitary tumor that most often affects the metaphyseal region of the femur or tibia c. Aggressive tumor most often found in the bone marrow of long bones d. Tumor that infiltrates the trabeculae in spongy bone and implants in surrounding tissue by seeding