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A 65-year-old patient with c. Assessing for other signs and symptoms of
a history of heart failure paroxysmal nocturnal dyspnea
comes to the clinic with
complaints of "being
awakened from sleep with
shortness of breath."
Which action by the nurse
is most appropriate?
a. Obtaining a detailed
health history of the
patient's allergies and a
history of asthma
b. Telling the patient to
sleep on his or her right
side to facilitate ease of
respirations
c. Assessing for other
signs and symptoms of
paroxysmal nocturnal
dyspnea
d. Assuring the patient that
paroxysmal nocturnal
dyspnea is normal and will
probably resolve within
the next week
,When assessing tactile a. Between the scapulae
fremitus, the nurse recalls
that it is normal to feel
tactile fremitus most
intensely over which
location?
a. Between the scapulae
b. Third intercostal space,
MCL
c. Fifth intercostal space,
midaxillary line (MAL)
d. Over the lower lobes,
posterior side
The nurse is reviewing the c. "Is caused by sounds generated from the larynx."
technique of palpating for
tactile fremitus with a new
graduate. Which statement
by the graduate nurse
reflects a correct
understanding of tactile
fremitus? "Tactile fremitus:
a. "Is caused by moisture
in the alveoli."
b. "Indicates that air is
present in the
subcutaneous tissues."
c. "Is caused by sounds
generated from the
larynx."
d. "Reflects the blood flow
through the pulmonary
arteries."
, During percussion, the d. Increased density of lung tissue.
nurse knows that a dull
percussion note elicited
over a lung lobe most
likely results from:
a. Shallow breathing.
b. Normal lung tissue.
c. Decreased adipose
tissue.
d. Increased density of
lung tissue.
The nurse is observing the a. Side-to-side
auscultation technique of
another nurse. The correct
method to use when
progressing from one
auscultatory site on the
thorax to another is _______
comparison.
a. Side-to-side
b. Top-to-bottom
c. Posterior-to-anterior
d. Interspace-by-
interspace