A nurse is documenting a client's breath sounds. Crackles are heard as:
A. Loud, low-pitched, coarse sounds
B. High-pitched, musical squeaks
C. Dry, grating sounds on inspiration
D. High-pitched, fine sounds at the end of inspiration
D
D. Crackles—Fine crackles are high-pitched, fine, short, interrupted crackling sounds heard during end of inspiration, usually not cleared with coughing.
A. Rhonchi—Loud, low-pitched, rumbling coarse sounds heard most often during inspiration or expiration; may be cleared by coughing.
B. Wheezes—High-pitched, continuous musical sounds like a squeak heard continuously during inspiration or expiration; usually louder on expiration; do not clear with coughing.
C. Pleural friction rub—Dry, grating quality heard best during inspiration; does not clear with coughing; heard loudest over lower lateral anterior surface.
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The child has been admitted to the Intensive Care Unit following a motor vehicle accident. The child weighs 39 pounds. Calculate the child's minimum expected urinary output in milliliters over an 8-hour period
Round to the nearest whole number. __________ milliliters Standard Text: Fill in the blank(s) with correct word
The nurse is assisting with resuscitation of a client. What priority intervention does the nurse perform before defibrillating a client?
a. Make sure the defibrillator is set to the synchronous mode. b. Deliver a precordial thump to the upper portion of the sternum. c. Test the equipment by delivering a smaller shock at 100 J. d. Ensure that all personnel are clear of con-tact with the client and the bed.
A home health agency has a document that contains the statement, "This agency will be dedicated to the provision of excellent home health care for older adults of the community." Which type of document is it?
1. mission statement 2. list of objectives 3. policies 4. procedures
A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that people will learn about the testing and the results. How should the nurse respond to this concern?
1. "The results of the tests are confidential, and no one can see them without your permission.". 2. "Most insurance companies will want the results before paying for the tests.". 3. "The results will be available to anyone who reviews your medical record.". 4. "The doctor will most likely use the results when planning care and treatment for other patients with the same genetic disorder.".