Which of the following sounds indicates that the nurse is performing chest percussion correctly?
A) Slapping
B) Booming
C) Clapping
D) Drumming
C
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Clients at risk for postoperative infections include all of the following except those who have a history of
A. Previous surgeries. B. Obesity. C. Prolonged antibiotic therapy. D. Corticosteroid therapy.
A patient's nursing care plan includes assessment for auditory hallucinations. Indicators that suggest the patient may be hallucinating include:
a. aloofness, increased distractibility, and suspicion. b. elevated mood, hypertalkativeness, and distractibility. c. performing rituals and avoiding open places. d. darting eyes, distracted, and mumbling to self.
A client with a suspected tumor of the hypothalamus asks what kinds of tests will be done. What should the nurse respond?
1. A urine glucose would be needed. 2. A T4 will need to be drawn. 3. The client will have an MRI. 4. The client will need a radioactive iodine (RAI) uptake test.
A nurse in the labor room is performing a vaginal assessment of a pregnant client who is in active labor. The nurse notes that the umbilical cord is protruding from the vagina and immediately:
A. Pushes the cord gently back into the vagina B. Prepares the client for cesarean delivery C. Places the client in the knee-chest position D. Prepares to administer a tocolytic medication