What is the correct sequence?
A. Percussion, auscultation, inspection, palpation
B. Auscultation, palpation, percussion, inspection
C. Inspection, palpation, percussion, auscultation
D. Palpation, auscultation, inspection, percussion
Answer: C. Inspection, palpation, percussion, auscultation
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A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3- 22 mEq/L. Which client condition should the nurse correlate with these results?
a. Diarrhea and vomiting for 36 hours b. Anxiety-induced hyperventilation c. Chronic obstructive pulmonary disease (COPD) d. Diabetic ketoacidosis and emphysema
The hospital has initiated a new fall risk-assessment tool. The nurse manager would like to reward those staff members who use the tool regularly. Which method of reinforcement would be most successful in getting long-term compliance?
1. A coupon for free lunch each time the tool is utilized 2. A counseling session with the nurse manager when the assessment tool has not been utilized 3. A coupon for a free lunch for staff members who have utilized the tool appropriately during a medical record review of nursing documentation 4. A pizza party for the staff when there is 100% compliance
You are admitting a 32-year-old woman to your unit. The woman is to undergo major surgery and will be on bed rest for at least 48 hours. While doing the admission assessment the patient tells you she takes oral contraceptives
You know that this puts the patient at an increased risk of developing what? A) Deep vein thrombosis B) Intermittent claudication C) Raynaud's disease D) Thoracic aneurysm
What information related to drug administration should be included in the nursing care plan? (Select all that apply.)
a. Schedule for drawing blood values b. Patient's need for crushing medication c. Patient's preference as to the use of medium in which to give crushed medicines d. Schedule of medication and dose times e. Parameters of pulse or blood pressure, if significant to administration