The nurse is preparing to auscultate the client's chest. Where will the nurse place the stethoscope to auscultate tracheal breath sounds?
1. A.
2. B.
3. C.
4. D.
Correct Answer: 1
Tracheal breath sounds are heard over the trachea when the client inhales and exhales. They are harsh and high-pitched.
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When a 25-year-old woman comes to the emergency department with nonspecific urethritis, the nurse is prompted to inquire about the patient's use of:
a. tight-fitting underwear. b. alcohol consumption. c. bath salts. d. bicycle exercise.
The client has been started on a treatment regimen that includes Amphojel as an antacid. The nurse plans what dosage schedule?
a. 7:00 AM, 11:00 AM, 4:00 PM, and 9:00 PM b. 8:00 AM, 12:00 noon, 5:00 PM, and 10:00 PM c. 9:00 AM, 1:00 PM, 6:00 PM, and 9:00 PM d. 10:00 AM, 2:00 PM, 7:00 PM, and 12:00 midnight
A client has continual problematic relationships and rejects others before possibly being rejected. The client states, "I am afraid of failing in my job responsibilities." Which correctly written nursing diagnosis should be prioritized for this client?
A. Poor self-esteem R/T negative self-image AEB fear of failure B. Altered thought processes R/T anxiety AEB delusions C. Role confusion R/T rejection and poor job productivity D. High risk for violence: self-directed R/T rejection of others
Which example of behavior in a family system demonstrates double-bind communication?
a. A mother tells her daughter, "You make me so mad that sometimes I wish I had never had you." b. A teenager tells her father, "You are treating me like a baby when you tell me I must be home by 10 PM on a school night." c. A son tells his mother, "You worry too much about what might happen. Nothing has happened yet, so why worry?" d. A wife tells her husband, "You go ahead with your bowling trip. Try not to worry about me falling on my crutches while I'm alone at home."