Which of the following would the nurse assess in a client with severe upper respiratory pneumonia?
A) Pursed lip breathing
B) Pain over the ribs
C) Crepitus on palpation
D) Increased warmth of the skin
C
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Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure? (Select all that apply.)
a. Purpose of the procedure b. Risks associated with the procedure c. That no suit can be brought for damages d. That the document must be signed and witnessed e. That information was given
A nurse is completing an OASIS assessment on a patient. What data would be most important for the nurse to assess?
a. Presence of grocery stores nearby b. Safety concerns within the home c. Number and kind of pets d. Proximity to a health care facility
The nurse uses palpation of the chest in order to assess the client for:
A) retractions and bulging. B) use of accessory muscles. C) tactile fremitus. D) pleural rub.
A patient with a fracture of the proximal left tibia in a long leg cast complains of severe pain distal to the fracture site and paresthesia. The toes on the left foot are pale and cool. Which action should the nurse take?
A. Elevate the left leg above the level of the heart. B. Administer prescribed morphine sulfate intravenously. C. Notify the health care provider immediately. D. Apply ice packs to the left proximal tibia over the cast.