Question

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u nd 6. During mental museinds Follow me of this condition SELECT ALL THAT APPLY Nowe i A normal physics a client who is i n Aneis preparing to shortness of breath. How should the nurse proceed? Perform a complete health history and physical assessment to obtain a baseline E mine the lungs and thorex prior to performing a complete sessment Ask the client to lie down to obtain an accurate cardiae and respiratory assessment Obtain a thorough history and physical assessment from the client's family 9. A client has a long history of chronic obstructive pulmonary disease. During the assessment, the nurse will most likely observe which of the following? s. Unequal chest expansion b. Dullness on percussion Anteroposterior to transverse diameter ratio of 1:1 d. Atrophy of neck and trapezius muscles 10. A client reports difficulty sleeping and states "Tll be sleeping and then I wake up and feel like I can't catch my breath." Which of the following responses would be the best for the nurse to make? a. "When was your last electrocardiogram? b. "Have you had a recent sinus infection? C. "Do you have any problems with your heart? d. "It's probably because the weather has been so hot lately." 11. When assessing the carotid arteries of an older client with cardiovascular disease, a nurse should: a. Palpate both arteries simultaneously to compare amplitude b. Instruct the client to take slow deep breaths during auscultation c. Auscultate with the diaphragm of the stethoscope in the suprasternal notch d. Auscultate with the bell of the stethoscope over the artery to assess for bruits to com with the di se slow de During an assessment of a healthy adult, where would a nurse expect to observe the apical pulse? a. Fifth intercostal space at the midclavicular line b. Fifth intercostal space at the sternal boarder c. Fourth intercostal space at the sternal boarder d. Third intercostal space at the midclavicular line

Answer 1

7. The diaphragmatic excursion should be equal bilaterally and measure about?

b.3 to 5 cm

8. The nurse is preparing to assess a client who is experiencing significant shortness of breath. How should the nurse proceed?

a. Perform a complete health history and physical assessment to obtain base line

9. A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment, the nurse will most likely observe which of these?

c. Anteroposterior-to-transverse diameter ratio of 1:1

10. The client reports difficulty sleeping and states "I'll be sleeping great and then I wake up and feel like I can't get my breath." The nurse's best response to this would be:

c."Do you have any history of problems with your heart?"

11. When assessing the carotid arteries of an older patient with cardiovascular disease, a nurse would:

d.Auscultate with the bell of the stethoscope over the artery to assess for bruits.

12. During an assessment of a healthy adult, where would the nurse expect to palpate the apical pulse?

a. Fifth left intercostal space at the midclavicular line