Question

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7. Upon entering the client's room, a nurse asks the client to turn down the volume of the television The nurse's request was intended to A create a quiet environment. B. control the client's behavior. C. manipulate the client's responses D uphold unit policy. ST NAME Anurse is reviewing data collected after conducting a health assessment. Which of the following would be considered related cues that would be clustered together during data analysis? Select all that apply A Hypoactive bowel sounds B. Nonproductive cough C. Respiratory rate of 16 breaths per minute D. Inspiratory wheezing noted in the left lower lobes E. Edema, +2 noted on the left hand A nurse calls a physician in reference to a client's change in clinical status. Using the SBAR communication model for a critical incident, in what sequence should the nurse report the following statements to the physician? Ms. C. is a 27-year old female status post left radical mastectomy and left axillary lymph node dissection two days ago Would you like to examine the surgical wound for bleeding? Ms. C. was examined by the rapid response team, X-Rays were taken and are negative, client is resting in bed after receiving Morphine Sulfate 4 mg IM for pain. Vital signs: BP 110/70, HR = 82 and regular, RR = 18. Dressing shows increased serosanguinous drainage. Ms. C. fell and injured her left arm while walking unassisted to the bathroom A. B. C. D. 1,4,3,2 2,3,4,1 4,1,2,3 4,1,3,2 10. A nurse needs to obtain anthropometric measures of an 80-vear-old client. Which of the following statements is true regarding this situation? A. Increased muscle mass will affect the mid-calf circumference measurements B. Muscle atrophy will increase BMI C. Height may decrease due to changes in bone density D. Increased skin elasticity will affect the waist-hip ratio AAA 10

Answer 1

7. A

A comfortable environment without distractions is essential for proper communication.

8. B,C,D

These options relate to the respiratory status of the client and can be grouped together.

9. A

10.C

Changes in bone density may decrease the height of the client. Usually people lose almost one-half inch (about 1 centimeter) every 10 years after age 40. The loss in height is even more rapid after age 70.