Correct Answers.
A client has been admitted to the cardiac unit, and test results are available. The nurse is writing
a plan of care for this client. On what would the nurse base interventions? - Answer Patterns
of subjective and objective data
A client has had a head injury affecting the brain stem. What is located in the brain stem that
may affect respiratory function? - Answer respiratory center
After teaching a group of students about age-related changes in the lungs, the instructor
determines that the teaching was successful when the students identify which of the following
as an age-related change? - Answer loss of elasticity
A group of students is reviewing the vertical reference lines of the thorax. They demonstrate
understanding when they identify which line as a reference line for the posterior thorax? -
Answer vertebral line
An older adult client presents at the office of the primary care physician with fatigue and heart
palpitations. These reports support what cardiac-related diagnosis? - Answer Atrial
Fibrillation
An older adult client reports a need to get up during the night to urinate. What assessment will
provide the most relevant information concerning the management of patient's nocturia? -
Answer "Have you made any lifestyle changes because of this?"
A nurse asks a client to say "ninety-nine" while palpating the posterior thorax. The nurse is
demonstrating effective technique in assessing for what respiratory characteristic? - Answer
Fremitus
A nurse is caring for a client diagnosed with chronic lymphedema. In preparing a teaching plan
for this client, what would be essential for the nurse to address when considering the
psychosocial wellness? - Answer body image
A nurse is educating a postoperative client on how to use an incentive spirometer. What is an
accurate step that should be included in the education plan? - Answer When the client
cannot inhale anymore, the client should hold his breath and count to 10.
During a health history, a client tells the nurse that "I can't breathe well at night when I'm lying
down". The client also reports an interrupted sleep pattern caused by waking up with trouble