Which is the reason for assessing a patient's chest excursion?
1) Monitoring for complete or partial airway obstruction
2) Monitoring for pleural effusion
3) Monitoring for pneumothorax
4) All of the above
ANS: 4
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The nurse who encourages the gate control theory of pain control would advise a woman in labor and her partner to use which nonpharmacological method of pain management?
a. Slow abdominal breathing b. Guided relaxation c. Listening to music d. Massage
A patient has been diagnosed with anemia. The physician suspects an immune hemolytic anemia and orders a Coombs test. The patient asks the nurse what this test will tell the doctor. The nurse replies,
A) "They will wash your RBCs and then mix the cells with a reagent to see if they clump together." B) "They will look at your RBCs under a microscope to see if they have an irregular shape (poikilocytosis)." C) "They will be looking to see if you have enough ferritin in your blood." D) "They are looking for the presence of antibody or complement on the surface of the RBC."
Your client is currently hospitalized for a ruptured appendix. As a single parent with a 4-year-old child, your client is concerned about being unable to care for the child while the client is recovering from surgery
What nursing diagnosis would be appropriate? 1. Parental role conflict 2. Comprised family coping 3. Interrupted family processes 4. Readiness for enhanced family coping
Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
a. Clotrimazole cream (Lotrimen) b. Mafenide acetate (Sulfamylon) c. Silver nitrate d. Silver sulfadiazine (Silvadene)