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Author Question: Which one of the following interventions selected by the nurse is classified as Level 2, Domain 2 ... (Read 31 times)

elizabeth18

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on: Jul 22, 2018
Which one of the following interventions selected by the nurse is classified as Level 2, Domain 2 (Physiological: Complex Care)?
 
  a. Maintaining regular bowel elimination
  b. Promoting the health of the family
  c. Managing restricted body movement
  d. Restoring tissue integrity

Question 2

How would the nurse document adventitious breath sounds that were loud, low-pitched, rumbling, coarse sounds?
 
  a. Crackles
  b. Rhonchi
  c. Wheezes
  d. Pleural friction rub


Hikerman221

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Reply #1 on: Jul 22, 2018
Answer to Question 1

D

Feedback
A Maintaining regular bowel elimination is classified as Level 2, Domain 1 (Physiological: Basic Care).
B Promoting the health of the family is classified as Level 2, Domain 5 (Family Care).
C Managing restricted body movement is classified as Level 2, Domain 1 (Physiological: Basic Care).
D Interventions to maintain or restore tissue integrity are classified as Level 2, Domain 2 (Physiological: Complex Care).

Answer to Question 2

B

Feedback
A Crackles are high-pitched.
B Rhonchi are characterized by loud, low-pitched, rumbling coarse sounds heard most often during inspiration or expiration; sometimes rhonchi are cleared with coughing.
C Wheezes are high-pitched.
D Pleural friction rub is a dry, rubbing, and grating sound.


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