During the respiratory assessment of a client the nurse wishes to locate the angle of Louis. Which landmarks will the nurse use to identify this structure?
1. Clavicle.
2. Sternum.
3. First rib.
4. Vertebral column.
Correct Answer: 2
The angle of Louis is the horizontal ridge formed by the intersection of the manubrium and the body of the sternum.
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The nurse assesses the client's thinking to determine if it is concrete or abstract by:
1. Giving the client a familiar proverb to interpret. 2. Asking the client to subtract nines backwards from 100. 3. Giving the client five objects to recall in five minutes' time. 4. Asking the client to draw either a circle or a square.
An instructor is teaching nursing students about Worden's grief process. According to Worden, which of the following client behaviors would delay or prolong the grieving process? (Select all that apply.)
1. Refusing to allow oneself to think painful thoughts 2. Indulging in the pain of loss 3. Using alcohol and drugs 4. Idealizing the object of loss 5. Recognizing that time will heal
Neonates are classified according to their birth weight. A neonate whose birth weight is 1500 grams (3.3 pounds) would be classified as:
a. Low birth weight (LBW) b. Very low birth weight (VLBW) c. Extremely low birth weight (ELBW) d. Intrauterine growth restricted (IUGR)
During a home visit in the postpartum period, the nurse notes the client is having difficulty with breast feeding. The nurse should refer the client to:
A) a nurse practitioner. B) La Leche League International. C) parent effectiveness training. D) Nurses for Newborns.