A 44-year-old male patient who complains of a cough has presented to the emergency depart-ment. He admits to smoking one pack per day. During your inspection of his chest, the most ap-propriate lighting source to highlight chest movement is:
a. bright tangential lighting.
b. daylight from a window.
c. flashlight in a dark room.
d. fluorescent ceiling lights.
A
Bright tangential light is best for visualizing chest movements.
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A nurse is caring for a client with myasthenia gravis, and disease which affects the client's ability to speak. The client is having difficulty forming words and his tone is nasal
Which of the following is an effective communication strategy for this client? A) Engage the client in a lengthy discussion to strengthen his voice. B) Encourage the client to speak quickly while talking. C) Repeat what the client has said to verify the meaning. D) Nod continuously when the client is talking.
A client has a nursing diagnosis of Risk for Impaired Skin Integrity related to prescribed bed rest and decreased sensation and mobility of the lower extremities. What type of nursing diagnosis is this classified as?
A) Actual diagnosis B) Health promotion diagnosis C) Risk diagnosis D) Syndrome diagnosis
The physician has ordered a urinalysis and a serum osmolality (concentration) determination. The nurse assesses that the kidneys are functioning appropriately if:
1. the serum osmolality is high and the urine osmolality is low. 2. the serum osmolality is low and the urine osmolality is high. 3. findings are incidental and unremarkable. 4. the osmolality of both the urine and the serum are high, or both are low.
The nurse uses an electronic information technology-based system that is designed to improve clinical decision making to enhance client care and safety. This system is referred to as a
a. personal digital assistant. b. handheld wireless device. c. point of care information and documentation system. d. computerized clinical decision support system.