Answer to Question 1
ANS: 4
Interpreting abstract ideas or concepts, such as in explaining the meaning of this phrase, reflects the capacity for abstract thinking. The client with altered mentation will likely interpret the phrase literally or merely rephrase the words. An example of assessing knowledge would be ask-ing the client their reason for seeking health care. This example is not designed to measure knowledge. The nurse is not attempting to measure judgment. An example of assessing judgment would be to ask the client what they would do if they suddenly became ill when alone at home. The nurse is not attempting to measure association. An example of assessing association would be to ask the client to complete a phrase, such as a dog is to a beagle as a cat is to a _____.
Answer to Question 2
ANS: 3
Normal vesicular sounds are soft, breezy, and low-pitched. The inspiratory phase is 3 times longer than the expiratory phase. Medium-pitched blowing sounds with inspiration equaling expiration are bronchovesicular breath sounds. Loud, high-pitched, hollow sounds with longer expiration are bronchial breath sounds. Vesicular sounds are created by air moving through smaller airways. Abnormal breath sounds result from air passing through narrowed airways.
Client on IV patient-controlled analgesia (PCA).
Sample client goals from the Wellness Massage Pyramid.
Positioning the client
Testing client’s ability to identify dull sensation
The client is positioned for the examination
Cloud Patterns Associated with Midlatitude Cyclone