A nurse is preparing to listen to the breath sounds of a client. The nurse should:
A. Ask the client to lie prone
B. Ask the client to breathe in and out through the nose
C. Hold the bell of the stethoscope lightly against the chest
D. Listen for at least one full respiration in each location on the chest
Ans: D. Listen for at least one full respiration in each location on the chest
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The family member of a 73-year-old patient with chronic obstructive pulmonary disease (COPD) is concerned about the patient's recent weight loss
When questioned by the nurse, the patient denies any change in diet or activity, but admits to losing 10 lb in the past 6 weeks. What is the nurse's best response to the family member's concern? a. "Maybe the patient has a higher metabolic rate than you." b. "It doesn't seem fair that some people can lose weight so easily." c. "This disease affects the respiratory sys-tem and causes the body to burn more calories to supply the energy to breathe." d. "You need to discuss this with the health care provider so testing can be ordered for tuberculosis."
Which nursing action is correct when initiating electronic fetal monitoring?
a. Lubricate the tocotransducer with an ultrasound gel. b. Inform the client that she should remain in the semi-Fowler's position. c. Securely apply the tocotransducer with a strap or belt. d. Determine the position of the fetus before attaching the electrode to the maternal abdomen.
Which statement regarding informed consent is most accurate?
a. Informed consent needs to be sought only if the risks outweigh the benefits. b. Informed consent is required if there are physical risks but not if there are psychological risks. c. Researchers must obtain voluntary participation of subjects after informing them of possible risks and benefits. d. A researcher is not obligated to seek informed consent if the details of the study could upset the subject and potentially affect the study outcome.
A 5-month-old infant is in respiratory distress. What should the nurse expect to find?
a. Nasal flaring b. Bradycardia c. Abdominal breathing d. Capillary refill of 2 seconds