You observe that the 60-year-old client's anteroposterior (AP) chest diameter is the same as her lateral chest diameter. What is your best next question in regard to this finding?
A. No questions are needed regarding this normal finding.
B. "Do you have any chronic breathing problems?"
C. "How often do you perform aerobic exercise?"
D. "What are your hobbies?"
B
The normal chest has a lateral diameter that is twice as large as the AP diameter. When the AP diameter approaches or exceeds the lateral diameter, the client is said to have a "barrel" chest. Most commonly, a barrel chest occurs as a result of a long-term chronic airflow limitation prob-lem, such as chronic obstructive pulmonary disease or severe chronic asthma. It can also be seen in people who have lived at a high altitude for many years.
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A nurse is supervising a student who is suctioning a 5-year-old patient in the pediatric intensive care unit. Which action by the student results in the nurse intervening?
A. Auscultates lung sounds beforehand B. Cleanses catheter after suctioning C. Hyperoxygenates prior to suctioning D. Sets suction pressure to 150 mm Hg
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication
A) with high-fat meals. B) with orange juice. C) on an empty stomach. D) with high-protein meals.
A client is advised a douche to clear vaginal drainage following the repair of a vesicovaginal fistula. Before giving the douche, the nurse observes that the drainage is serosanguineous. Which action should the nurse take?
A) Inform the physician immediately. B) Record it as a normal finding. C) Obtain a specimen for C&S. D) Advise daily bathing and frequent perineal hygiene.
Which statement made by a lactating woman would lead the nurse to believe that the woman might have lactose intolerance?
a. "I always have heartburn after I drink milk." b. "If I drink more than a cup of milk, I usually have abdominal cramps and bloat-ing." c. "Drinking milk usually makes me break out in hives." d. "Sometimes I notice that I have bad breath after I drink a cup of milk."