The nurse is comparing pitch and duration of the various types of breath sounds and recognizes which as an expected finding?
a. Bronchial sounds are low-pitched and have a 2:1 inspiratory-versus-expiratory ratio.
b. Bronchovesicular sounds have a moderate pitch and 1:1 expiratory-versus-inspiratory ratio.
c. Vesicular breath sounds are high-pitched and have a 1:2 inspiratory-versus-expiratory ratio.
d. Wheezes are low-pitched and have a 2.5:1 inspiratory-versus-expiratory ratio.
ANS: B
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The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
a. "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest." b. "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body." c. "If the baby turns blue, I will immediately put the baby upright in an infant seat." d. "If the baby turns blue, I will put the baby in supine position with his head elevated."
There is never any justification for violating the three primary ethical principles articulated in the Belmont Report
A) True B) False
A client is a passenger in a vehicle that was hit in the rear by another vehicle. The client is complaining of pain in the neck from the head rapidly moving forward and then back against the headrest
What type of injury does the nurse suspect the client sustained in the accident? A) Strain B) Avulsion fracture C) Whiplash injury D) Contusion
The patient with the crushed forearm cannot get pain relief with opioids. The injury is swollen, cool, and cyanotic, with weak distal pulses. The nurse assesses that this is a(n):
1. compartment syndrome. 2. overwhelming infection. 3. fat embolus. 4. osteomyelitis.