Answer: D) Fine crackles. Show
Answer: B) Client with COPD whose oxygen saturation is 78% Breathing - anything having to do with the act of breathing -- respiration rate and depth (ineffective breathing pattern) or gas exchange in the lungs (ineffective gas exchange). Circulation - anything to do with the vascular system. Think bleeding, cardiac output, dehydration, fluid overload, etc. Decreased cardiac output, fluid volume deficit/excess, risk for bleeding. Then you go with Maslow's hierarchy for your prioritization. Pain before coping, food before love, etc. C The hot/cold theory of health is based on humoral theory; the treatment of disease is based on the
balance of the humors. The general survey consists of four distinct areas. These areas include: D Functions of the skin include protection, prevention of penetration, perception (of touch, pain, temperature, and pressure), temperature regulation, identification, communication, wound repair, absorption and excretion, and production of vitamin D. B Facial characteristics of fetal alcohol syndrome include narrow palpebral fissures, epicanthal folds, and midfacial hypoplasia. C Myxedema (hypothyroidism) is a deficiency of thyroid hormone. If severe, the symptoms include nonpitting edema or myxedema; a puffy edematous face, especially around the eyes (periorbital edema); coarse facial features; dry skin; and dry coarse hair and eyebrows. D Facial characteristics of Parkinson disease include a flat, expressionless face that is masklike with elevated eyebrows, a staring gaze, oily skin, and drooling. When Auscultating a client's chest a nurse assesses a second heart sound S2 What would the nurse determine is the cause of this sound?The first sound (S1) is caused by closure of the mitral and tricuspid valves and the two sounds tend to merge as one. When considered separately, the closure of the mitral and tricuspid valves is called M1 and T1 respectively. The second sound (S2) is caused by closure of the aortic and pulmonary valves.
When Auscultating heart sounds you should place your stethoscope at the quizlet?When auscultating heart sounds, you should place your stethoscope at the: fifth intercostal space, over the apex of the heart. To appreciate the S1 sound: ask the patient to breathe normally and hold his or her breath on expiration.
What is located at the right and left 2nd intercostal spaces next to the sternum *?The right ventricle narrows as it rises to meet the pulmonary artery just below the sternal angle. This is called the "base of the heart" and is located at the right and left 2nd intercostal spaces next to the sternum.
What are three techniques used to assess the Precordium and heart sounds?Inspection, Palpitation, and auscultation are three techniques used to asses the precordium and Vasculature.
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