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Exam (elaborations)

NURSING 101 Medical-Surgical B 93 Questions And Answers Complete Solution Rated A

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Which method elicits the most accurate information during a physical assessment of an older client? o Ask the client to recount one's health history. o Obtain the client's information from a caregiver. o Review the past medical record for medications. o Use reliable assessment tools for older adults.A client who has just tested positive for human immunodeficiency virus (HIV) does not appear to hear what the nurse is saying during post-test counseling. Which information should the nurse offer to facilitate the client's adjustment to HIV infection? o Inform the client how to protect sexual and needle-sharing partners. o Teach the client about the medications that are available for treatment. o Identify the need to test others who have had risky contact with the client. o Discuss retesting to verify the results, which will ensure continuing contact.The nurse hears short, high-pitched sounds just before the end of inspiration in the right and left lower lobes when auscultating a client's lungs. How should this finding be recorded? o Inspiratory wheezes in both lungs. Incorrect o Crackles in the right and left lower lobes. Correct o Abnormal lung sounds in the bases of both lungs. o Pleural friction rub in the right and left lower lobes.What assessment finding should the nurse identify that indicates a client with an acute asthma exacerbation is beginning to improve after treatment? o Wheezing becomes louder. Correct o Cough remains unproductive. o Vesicular breath sounds decrease. o Bronchodilators stimulate coughing. IncorrectThe nurse is caring for a client with non-Hodgkin's lymphoma who is receiving chemotherapy. Laboratory results reveal a platelet count of 10,000/ml. What action should the nurse implement? o Encourage fluids to 3000 ml/day. o Check stools for occult blood. Correct o Provide oral hygiene every 2 hours. o Check for fever every 4 hours

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