A patient is suspected of having a lung consolidation. A nurse uses the three techniques for assessing vocal resonance in this patient. What is the expected finding among the three procedures that will help eliminate consolidation as a problem?
a. The nurse documents clearly hearing the patient say "99."
b. The nurse documents hearing muffled sounds when the patient says "1-2-3."
c. The nurse documents hearing no sounds when the patient says "e-e-e."
d. The nurse documents clearly hearing the patient say "a-a-a."
ANS: B
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Mrs. Owens has come to the clinic to see the nurse practitioner about her persistent cough. Recently, she was laid off from her job at the retail store and lost all benefits. She has had a fever and chills for several days
As the nurse begins the assessment, Mrs. Owens begins to cry and says: "I have no money to pay for medicine or this visit. Please do not order an antibiotic, because I cannot pay for it." The nurse's best response would be which of the following? 1. "I understand your concerns, Mrs. Owens. I have free medicine from donors to give you." 2. "I understand your concerns Mrs. Owens. It looks like you will qualify for Medicaid benefits." 3. "Don't worry Mrs. Owens, I won't prescribe an antibiotic." 4. "Mrs. Owens, perhaps you can be seen in the emergency department. They can give you free antibiotics."
The client diagnosed with moderate stage COPD says there is no sense in stopping smoking now because the damage is done. Which response is the best rationale for encouraging this client to stop smoking?
A. "The damage will be reversed." B. "The COPD will progress more slowly." C. "Your risk for asthma development, which would further reduce your lung func-tion, will be decreased." D. "You will be less likely to lose excessive amounts of weight and will have a more normal appearance."
A nurse is assisting with the collection of a Pap smear. When collecting the specimen, which of the following is done first?
A) Insertion of the speculum B) Swabbing of the endocervix C) Spreading of the labia D) Insertion of the cytobrush
Of the situations listed, which is the best example of collaboration between the levels described in the model of EBP collaboration?
a. A health care organization funds a group of nurses to attend a research conference related to practice areas that have had less than desirable outcomes in the past year. b. An individual nurse searches databases for the best evidence to support practice with a population of clients on a particular unit. c. A participant at a national nursing organization conference listens attentively to presenters related to the most relevant topics for the population served. d. A staff nurse uses findings from the Joanna Briggs Institute to support an EBP project, evaluates outcomes, and reports the findings at an international conference.