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Women should be taught to perform a self-breast exam:   b<br />a. on the first day of menses<br />b. on the last day of menses<br />c. every day with a warm shower<br />d. just prior to menses<br />A shrill, harsh sound heard during inspiration would be called:  b<br />a. stertor<br />b. stridor<br />c. gurgle<br />d. wheeze<br />To assess the apical pulse the nurse should place the stethoscope on the  b<br />Third intercostal space to the right of the midclavicular line<br />Fifth intercostal space to the left of the midclavicular line<br />Sixth intercostal space at the midclavicular line<br />Seventh intercostal space to the left of the midclavicular line<br />During auscultation of the chest, the nurse hears soft, breezy, low-pitched sounds that are heard longer on inspiration than expiration. The nurse should record these as  b<br />a.bronchovesicular sounds<br />b.vesicular sounds<br />c. bronchial sounds<br />d. adventitious sounds<br />One of the purposes of  a physical examination is to  a<br />a.Ascertain client’s level of health and physiological function.<br />b. Help the client to return to a normal status<br />c. To teach the staff the correct procedure for performing an assessment<br />d.To help the family identify problems that the client is experiencing<br />Preparation for the physical examination includes all actions except:<br />The nurse should keep the client informed while performing the examination.<br />The nurse should appear calm, organized, and competent at the bedside.<br />The nurse should review the agency’s assessment forms prior to meeting with the client<br />The nurse should allow the family to be present during the examination<br />Physical Assessment Techniques include  b<br />Inspection, palpation, strengthening, auscultation<br />Palpation, auscultation, inspection, percussion<br />Percussion, tuning fork, palpation, auscultation<br />Auscultation, snellen chart, palpation,percussion<br />Pick the statement that is false when describing the chest<br />,[object Object]
Bony cage protects the heart, lungs and great vessels
Formed by the heart, sternum and vertebrae

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Quiz stuff

  • 1.
  • 2. Bony cage protects the heart, lungs and great vessels
  • 3. Formed by the heart, sternum and vertebrae
  • 4.
  • 5. Oxygenated blood flows from the heart to the body
  • 6. From the left ventricle via the arterial system
  • 7. Coronary circulation: through the heart itselfName the Heart Sounds Landmarks on the following diagram: <br />Fowler’s position is best for persons with difficulty breathing<br />marked sternal retractions is a sign of lower airway obstruction<br /> deep breathing exercises help lower the amount of residual air in the lungs<br />29. Charlie Welch is being discharged today after suffering serious complications related to his chronic obstructive lung disease. His wife will be performing his percussion and postural drainage treatments at home She should be taught that the best time to perform these treatments is:<br />1. After breakfast and after lunch<br />2.Before breakfast and after lunch<br />3.After breakfast and before dinner<br />4.Before breakfast and before bedtime<br />