Which actions by the nurse are appropriate when auscultating the thyroid during a physical assessment? Select all that apply
1) Using the diaphragm of the stethoscope
2) Using the bell of the stethoscope
3) Asking the patient to take deep breaths
4) Asking the patient to hold the breath
5) Using the finger pads for palpation
ANS: 2, 4
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A patient in the ICU presents with a fever, headache, malaise, and myalgia. The nurse suspects that the patient has a SARS infection. Which other finding or findings would tend to confirm this suspicion? Select all that apply
A) Mucus-producing cough B) Dyspnea C) Positive for human cytomegalovirus D) Lymphopenia
A client with asthma is given albuterol sulfate (Proventil), a selective adrenergic drug that stimulates the beta2-receptor site. Which response should the nurse expect to see in the client?
a. Bronchoconstriction b. Bronchodilation c. Decreased heart rate d. Increased blood pressure
A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago. After the client received a college acceptance, the mother repeatedly states, "That's wonderful. I'll be fine all alone"
How would the nurse interpret the mother's statements? A. The mother is withholding supportive messages. B. The mother is expressing denigrating remarks. C. The mother is communicating indirectly. D. The mother is using double-bind communication.
Select the true statement about the adverse effects associated with excessive oxytocin administration.
A. There may be prevention of postpartum hemorrhage and prevention of muscle atony. B. The pressor effect may be intense and may restrict blood flow to the fingers and toes, which can result in tissue anoxia and the development of gangrene. C. There may be an increased incidence of nausea, vomiting, and constriction of blood vessels, which can produce varying degrees of hypertension. D. All of these are correct.