The nurse is using percussion to assess a client's lung region. Which of the following would be considered a normal assessment finding?
1. Flatness
2. Dullness
3. Tympany
4. Resonance
4
Resonance is a normal percussion sound of the lungs, and it indicates normal lungs. Flatness indicates severe pneumonia. Dullness indicates atelectasis. Tympany indicates a large pneumothorax.
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A nurse is caring for a patient who made a sexually suggestive comment earlier in the shift and the patient has now made another lewd remark to the nurse. The nurse should first
A) go home for the day and ask for a new patient assignment tomorrow. B) draft a report to be submitted to the state board of nursing. C) withhold care from the patient. D) assertively state that such comments are not acceptable
The nursing student began a case study paper by writing, "J.P., a 65-year-old Asian male, was admitted to the intensive care unit at Southwest Hospital." What is the significance of this statement?
1. It is incomplete, as the date and time of admission should be included. 2. It is a good description of the patient to begin the paper. 3. It violates Health Insurance Portability and Accountability Act regulations. 4. It is incomplete, as the patient's physician's name should be included.
An adolescent patient recently attended a health fair and had a serum glucose test. The patient telephones the nurse and says, "My level was 125 mg/dL. Does that mean I have diabetes?" What is the nurse's most accurate response?
a. "Unless you were fasting for longer than 8 hours, this does not necessarily mean you have diabetes." b. "At this level, you probably have diabetes. You will need an oral glucose tolerance test this week." c. "This level is conclusive evidence that you have diabetes." d. "This level is conclusive evidence that you do not have diabetes."
Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(n):
a. ethnic assessment. b. functional assessment. c. genetic examination. d. social history.