The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal:
a. Dullness.
b. Tympany.
c. Resonance.
d. Hyperresonance.
ANS: A
A dull percussion note signals an abnormal density in the lungs, as with pneumonia, pleural effusion, atelectasis, or a tumor.
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All of these options are important to the practice of nursing. Which option is likely the most important?
1. The applicability of theories from other disciplines to nursing practice. 2. The need for nursing to establish its own theoretical base. 3. Replication of theoretical research for validation. 4. Comparing historical theory to today's society.
The nurse is concerned that specific families in a community are at increased risk for transgenerational violence. Which family situation exemplifies the transgenerational theory of violence?
1. Family with a daughter who has severe arthritis and finds it increasingly difficult to deal with her forgetful, frail mother 2. Family with a daughter who abuses alcohol whose father was a chronic alcoholic and is currently suffering from cirrhosis 3. Family with a daughter who is working two jobs with significant debts and cares for her father, who is becoming more confused and dependent 4. Family with a son who, as a teenager and young adult, had serious arguments with both of his parents, who were emotionally and sexually abusive to him
When speaking to a group of teenagers regarding risky behaviors that can lead to spinal cord injuries (SCI), the nurse should mention: Select all that apply
1. Not appointing a designated driver. 2. Diving into unfamiliar water. 3. Refusing to wear a helmet while dirt-biking. 4. Wearing leather-soled shoes. 5. Forgetting to wear prescription glasses.
The client at the HIV clinic has come in complaining of unintended weight loss with diarrhea lasting over the last month. How is the wasting syndrome in clients with AIDS defined?
A) Loss of 4% of usual weight C) Loss of 15% of usual weight B) Loss of 10% of usual weight D) Loss of 20% of usual weight