Question

Horming a respiratory assessment on a patient. During the assessment she hands on the patient's back asks the patient to take a deep breath while os chest wall movement. This assessment is known as places her hands on the patient's back observing chest wall mo a. egophany b. tactile fremitus c. thoracic expansion d. Tympany 13. A 62-year-old male patient is post-op day two after a left total knee replacement and complaining of sudden dyspnea and shortness of breath. Assessment of this patient reveals the following T 99.9 F, HR 99, RR 32, BP 148/56, O2 Saturation 88% on 2 L NC, Lung sounds diminished on left. After notifying the care provider of these findings and receiving these orders, the nurse should perform which intervention first? a. Encourage deep breathing, coughing and incentive spirometry b. Administer 5 mg Warfarin PO daily c. Administer IV Heparin at 17 units per kilogram per hour d. Prepare patient for IVC filter placement CAL 14. You are preparing to suction the tracheostomy inserted 3 days ago in a 54 year-old patient with a history of laryngeal cancer. Which method would you use? a. Insert the suction catheter until you feel resistance or the patient coughs b. Ask the patient to hold their breath before you insert the suction catheter c. Insert the catheter and advance in a rotating motion d. Apply suction before inserting the suction catheter - A patient with a pneumothorax had a chest tube placed two days ago. Which assessment findings would suggest the pneumothorax is resolving and the chest tube can be removed? a. Subcutaneous emphysema b. Reduction in tidaling C. Increased air leak d. Drainage changed from serous to sanguineous A 72-year-old patient has had an open reduction-internal fixation (ORIF) of the left hip is complaining of numbness and tingling of the left lower leg and foot. Which would be the riority assessment for this patient? a. Inspection and palpation of the surgical dressing b. Assess range of motion of left foot C. Auscultation and palpation of abdomen b d. Neurovascular exam of left leg and foot

Answer 1

Horming a respiratory assessment on a patient. During the assessment she hands on the patient's back asks the patient to take a deep breath while ng chest wall movement. This assessment is known as places her hands on the patient's back as observing chest wall movement This asse a. egophany b. tactile fremitus @ thoracic expansion d. Tympany The thoracic expansion technique involves examination of chest wall movement as the patient take deep breath. Egophany, tactile fremitus, and tympany are based on observing the lung sounds, but not chest expansion.