Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed
You should begin the chest examination by: a. percussing all lung fields.
b. auscultating the lung bases.
c. determining tactile fremitus.
d. estimating diaphragmatic excursion.
B
Because the patient has consolidation and has been recumbent and fatigued, the most appropriate first step is to listen to the lung bases before the patient gets exhausted. The lung bases are the most likely sites of adventitious sounds.
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Calculate the daily rate of maintenance fluids and the hourly flow rate for a child who weighs 13 kilograms
1. 1150 mL per day; 47.9 mL/h 2. 130 mL per day; 5.4 mL/hr 3. 650 mL per day; 27 mL/hr 4. 260 mL per day; 10.8 mL/hr
The nurse is providing tracheostomy care for the client. What should the nurse include when gathering the supplies for this care?
1. A cotton-filled dressing to apply around the tracheostomy 2. Tap water for cleaning the inner cannula 3. Sterile gloves to remove the old dressing 4. Sterile suction catheters
A nutritionist is working with a family discussing nutritional options for a client in a comatose state. Which statement is true of enteral feedings but not true of parenteral feedings?
a. They are more expensive. b. They have a higher infection rate. c. They pose a greater risk of aspiration. d. They can be used with intestinal obstruction.
The nurse is caring for a client who is taking an oral contraceptive. What should the nurse advise this client during medication instruction?(Select all that apply.)
1. Exercise if leg pain is present 2. Stop smoking 3. Periodic laboratory tests may be needed 4. Schedule annual Pap smears 5. Perform breast self-exams