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 C

Explanation

When a labor and delivery nurse tells a coworker that a client of Asian descent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as a stereotype. A stereotype is an oversimplified and often inaccurate generalization about a group of people. The other options (Bias, Ethnic slur, and Stigma) are not directly related to this situation.

A. There is one best intervention for each goal/outcome. B. Actions should address the etiology of the nursing diagnosis. C. Interventions should be "doing" not just monitoring. D. Always select independent interventions when possible.

Correct Answer is B

Explanation

When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more eﬀective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as diﬀerent clients may have diﬀerent needs and respond diﬀerently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a labor and delivery nurse tells a co-worker that a client of Asian descent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

Correct Answer is C

Explanation

Which of the following principles does the nurse use in selecting interventions for the care plan?

Correct Answer is B

Explanation

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis. How can the nurse best increase the client's motivation to learn?

The nurse instructs the client on mind-body therapies. Which mind-body therapy is used when the client pictures themselves lying on a beach with the sounds of waves, the cries of seagulls, and the warmth of the sun during periods of stress?

The nurse is caring for a client who has difficulty hearing conversation. What intervention should the nurse implement?

Which of the following is marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnoea?

Which is an example of a closed-ended question or statement?

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