BSN 246 (BSN246)

The nurse is performing a respiratory assessment and is auscultating the client's breath sounds. On auscultation, the nurse hears a grating and creaking type of sound. The nurse interprets this to mean that client has which type of sounds? A.Wheezes B.Rhonchi C.Crackles D.Pleural Friction Rub correct answer: Pleural Friction Rub The nurse is assessing a client's muscle strength. The nurse asks the client to hold the arms up and supinated, as if holding a tray, and then asks the clien...

Which of the following sites should be avoided for intravenous (IV) line insertion? (Select all that apply.) correct answer: -foot of an adult -site distal to a previous venipuncture site -ventral surface of wrist (inner wrist) -areas of venous bifurcation An adult patient developed a complication with his IV and it had to be removed, yet continued IV fluids were needed. Which site would be most appropriate for the nurse to choose? correct answer: proximal to the previous IV site Whic...

what is cystitis? correct answer: inflammation of the bladder. bladder infection women are more susceptible because of short urethra older men with benign prostatic hypertrophy will have more problems with urinary so it can be related to age and gender caused by bacteria catheters can cause the inflammation to bladder Symptoms of cystitis would include? correct answer: Frequency and urgency to void, difficulty voiding for instance men with enlarged prostate. Test to diagnose cystitis wou...

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select all that apply. A.Set the room temperature at a comfortable level. B.Remove distracting objects from the interviewing area. C.Place a chair for the client across from the nurse's desk. D.Ensure comfortable seating at eye level for the client and nurse. E.Provide seating for the so that the faces a str...

Hypokalemia appearance on EKG correct answer: - U waves - inverted T waves - depressed ST segment Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. 1. Obtain an intravenous (IV) infusion pump. 2. Monitor urine output during administration. 3. Prepare the medication for bolus administration. 4. Monitor the I...

The nurse is caring for a patient with increased intracranial pressure (ICP). Which action would be considered to be a collaborative intervention? a. Decreasing perfusion b. Administering an osmotic diuretic c. Assessing orientation d. Assessing for edema correct answer: ANS: B Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation? a. Change in level of consciousness b. Inability to focus visually c. Loss o...

The nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit: correct answer: Blotchy brown macules across the cheeks and forehead The client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reviewing the results of the culture report interprets that which of the following organisms is not part of the normal flora of the skin? correct answer: Escherichia coli The client complains of chronic pr...

factors affecting nutritional intake correct answer: •Medications (may affect taste or cause N&V) •Medical Testing (may miss out on meals bc taking test) •Fear and Anxiety •Pain •Unfamiliar Schedules (may be interrupted, may not be used to being offered 3 meals per day) •Unacceptable Food/Acceptance of Interventions (don't want to accept diet) •Inappropriate Diet Orders (i.e. stroke needs a texture and consistency modification) •If needed, inadequate feeding assistance/u...

What is the angle of Louis? correct answer: •Joint formed by the articulation between the manubrium and the body of the sternum •Where the sternum and second ribs meet midaxillary line correct answer: An imaginary vertical line that starts at the middle of the axilla (armpit) and extends down the side of the chest. 2 What do we listen for in the lateral thorax? And what should it sound like? correct answer: Lateral thorax ◦Vesicular sounds ◦Softer lower pitch and found i...

ethics correct answer: study of morality of human behavior from a variety of perspectives Morality -describes personal values, character or conducts of individuals or groups Code of Ethics for Nurses -expected standards of moral behavior of a particular group is described here -allows nurses to share common principles, published by ANA 2015 ANA Scope & Standards of Practice -holds nurses accountable for their ethical conduct and competency When we think of ethics, we think of wh...