In reviewing the patient's record, the nurse notes that the patient has air in the subcutaneous tissue. The nurse validates that this patient has crepitus with which finding?
a. Asymmetric expansion of the chest wall on inhalation
b. Increased transmission of vocal vibrations on auscultation
c. Crackling sensation under the skin of the chest on palpation
d. Coarse grating sounds heard over the mediastinum on inspiration
ANS: C
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The nurse is providing care to a post-stroke patient on the rehabilitation floor with a nursing diagnosis of hygiene self-care deficit. Which goal is most appropriate on day one?
a. Patient will ambulate independently twice a day. b. Patient will perform all of own ADLs. c. Patient will consume 75% of all meals. d. Patient will begin to perform 50% of own ADLs.
Vasoactive medications are given in all forms of shock. Why are these medications used?
A) To increase myocardial resistance B) To decrease strength of cardiac contractility C) To maintain hemodynamic stability D) To initiate vasoconstriction
A nursing instructor teaches a class of student nurses that the most effective communication style for nurses to practice is
1. Passive. 2. Avoidant. 3. Assertive. 4. Aggressive.
What is it called when stressors exceed a person's ability to cope?
a. crisis c. adaptation b. suppression d. homeostasis