A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?

Asymmetrical chest expansion

Breath sounds equal bilaterally

Bilateral symmetric vocal fremitus

Chest symmetrical

Answer and Explanation

The Correct Answer is A

During a lung assessment on a client suspected of having pneumonia, the nurse should report asymmetrical chest expansion to the physician immediately. Asymmetrical chest expansion can be a sign of a serious lung condition such as pneumonia. The other options (Breath sounds equal bilaterally, Bilateral symmetric vocal fremitus, and Chest symmetrical) are normal findings and do not need to be reported immediately.

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Correct Answer is D

Explanation

Developmental testing for kindergarten through third-grade students is an example of primary prevention. Primary prevention aims to prevent disease or injury before it occurs by promoting healthy behaviors and reducing exposure to risk factors.

A. Reposition the client every 3 hours. B. Apply cornstarch to keep the skin dry. C. Provide the client with a diet high in protein. D. Massage bony prominences to promote circulation.

Correct Answer is C

Explanation

A diet high in protein can help maintain skin integrity in older adults. Protein is essential for tissue repair and wound healing. The other options may not be as effective in maintaining skin integrity. For example, repositioning the client every 3 hours may not be frequent enough to prevent pressure ulcers. Applying cornstarch to keep the skin dry may not be the best option as it is important to keep the skin moisturized. Massaging bony prominences to promote circulation may not be recommended as it could cause damage to fragile skin.

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A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?

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Naxlex Comprehensive Predictor Exams

The nurse educator provides developmental testing for kindergarten through third-grade students. Which level of prevention is the nurse performing?

Correct Answer is D

Explanation

A nurse is caring for an older adult client who is at risk for skin breakdown. The nurse should use which of the following interventions to help maintain the integrity of the client's skin?

Correct Answer is C

Explanation

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