A nurse is developing a teaching plan for a client who has a new diagnosis of type 2
DM. Which of the following actions should the nurse plan to take first?
a.) establish short term, realistic goals for the client
b.) give the client access to a video about diabetes
c.) determine what the client knows about managing diabetes
d.) evaluate the effectiveness of the clients admission teaching plan
Give this one a try later!
C (the first action the nurse should take using the nursing process is to
assess or collect data from the client. The nurse should find out what the
, client knows before proceeding with the plan.
A nurse is auscultating the breath sounds of a client who has asthma. When the client
exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should
document this as which of the following adventitious breath sounds?
a.) crackles
b.) rhonchi
c.) stridor
d.) wheezes
Give this one a try later!
d (wheezes are continuous, high-pitches squeaking sounds, first evident on
expiration, but possibly evident on inspiration as the airway obstruction of
asthma worsens. Wheezes are often audible without a stethoscope. A
stridor is a continuous, shrill musical sound of constant pitch. Rhonchi are
continuous rumbling, snoring, or rattling sounds resulting from fluid or
mucous. Crackles are a series of short, interrupted, high-pitched sounds
audible just before the end of inspiration. The sound is similar to that of
rolling hair between the fingers just behind the ear.)
A nurse is assessing a client who has hypoxia. Which of the following findings should
the nurse expect?
a.) bradypnea
b.) somnolence
c.) pallor
d.) tachycardia
Give this one a try later!
DM. Which of the following actions should the nurse plan to take first?
a.) establish short term, realistic goals for the client
b.) give the client access to a video about diabetes
c.) determine what the client knows about managing diabetes
d.) evaluate the effectiveness of the clients admission teaching plan
Give this one a try later!
C (the first action the nurse should take using the nursing process is to
assess or collect data from the client. The nurse should find out what the
, client knows before proceeding with the plan.
A nurse is auscultating the breath sounds of a client who has asthma. When the client
exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should
document this as which of the following adventitious breath sounds?
a.) crackles
b.) rhonchi
c.) stridor
d.) wheezes
Give this one a try later!
d (wheezes are continuous, high-pitches squeaking sounds, first evident on
expiration, but possibly evident on inspiration as the airway obstruction of
asthma worsens. Wheezes are often audible without a stethoscope. A
stridor is a continuous, shrill musical sound of constant pitch. Rhonchi are
continuous rumbling, snoring, or rattling sounds resulting from fluid or
mucous. Crackles are a series of short, interrupted, high-pitched sounds
audible just before the end of inspiration. The sound is similar to that of
rolling hair between the fingers just behind the ear.)
A nurse is assessing a client who has hypoxia. Which of the following findings should
the nurse expect?
a.) bradypnea
b.) somnolence
c.) pallor
d.) tachycardia
Give this one a try later!
