Answer: D) Fine crackles. Show
Answer: B) Client with COPD whose oxygen saturation is 78% Breathing - anything having to do with the act of breathing -- respiration rate and depth (ineffective breathing pattern) or gas exchange in the lungs (ineffective gas exchange). Circulation - anything to do with the vascular system. Think bleeding, cardiac output, dehydration, fluid overload, etc. Decreased cardiac output, fluid volume deficit/excess, risk for bleeding. Then you go with Maslow's hierarchy for your prioritization. Pain before coping, food before love, etc. C The hot/cold theory of health is based on humoral theory; the treatment of disease is based on the
balance of the humors. The general survey consists of four distinct areas. These areas include: D Functions of the skin include protection, prevention of penetration, perception (of touch, pain, temperature, and pressure), temperature regulation, identification, communication, wound repair, absorption and excretion, and production of vitamin D. B Facial characteristics of fetal alcohol syndrome include narrow palpebral fissures, epicanthal folds, and midfacial hypoplasia. C Myxedema (hypothyroidism) is a deficiency of thyroid hormone. If severe, the symptoms include nonpitting edema or myxedema; a puffy edematous face, especially around the eyes (periorbital edema); coarse facial features; dry skin; and dry coarse hair and eyebrows. D Facial characteristics of Parkinson disease include a flat, expressionless face that is masklike with elevated eyebrows, a staring gaze, oily skin, and drooling. When Auscultating a patient's chest a nurse assesses a second heart sound S 2 what area in the heart is this sound results from?The combined A2 and P2 heart sounds produce the S2 heart sound The A2 sound is the closure of the aortic valve. The P2 is the closure of the pulmonary valve. The aortic valve closes slightly before the pulmonary valve. Even with the slight separation, both the A2 and P2 are heard as one sound (S2).
Where should a nurse place the stethoscope when Auscultating heart sounds?Where should a nurse place the stethoscope when auscultating heart sounds? 1. First intercostal space right of the sternum to hear sounds from the pulmonic valve area.
When Auscultating heart sounds you should place your stethoscope at the quizlet?When auscultating heart sounds, you should place your stethoscope at the: fifth intercostal space, over the apex of the heart. To appreciate the S1 sound: ask the patient to breathe normally and hold his or her breath on expiration.
When Percussing a client's chest What should the nurse expect to hear?Resonance is the normal sound heard when percussing the lungs because they are filled with air rather than dense tissue. However, it may be more of a dull or flat sound if a client has adipose tissue or a muscular chest, because this increased density modifies the sound.
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