The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of:
a. friction rub.
b. sibilant wheezes.
c. crackles.
d. sonorous wheezes.
Question 2A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient's condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
Question 3A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation.
b. Include the patient in making the plan of care.
c. Counsel patient about end-of-life provisions.
d. Write out a detailed schedule of physician's appointments.
Question 4A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding?
a. Obtain a blood pressure
b. Record the approximate amount of blood lost
c. Inquire about a headache
d. Record the last episode of epistaxis
Question 5What portion of the nephron is involved with filtration?
a. Glomerulus of the Bowman capsule
b. Henle loop
c. Proximal convoluted tubule
d. Distal convoluted tubule
Question 6A ___________occurs when the body encapsulates the autodigestive debris in the pancreatic tissue, frequently becoming an abscess.
ANS: