A 58-year-old patient is going home today. The nurse does her final assessment of the patient. Which of the following would be considered a normal finding?
Bowel sounds 5-30 per minute.
Capillary refill of greater than 3 seconds.
Respiratory rate of 25
Heart rate of 10
The Correct Answer is C
The normal range for respiratory rate in adults is typically between 12 to 20 breaths per minute, butsome individuals may have a slightly higher or lower respiratory rate within the normal range.
Options a and b are incorrect. Bowel sounds of 5-30 per minute are within the normal range, but this finding alone does not indicate that the patient is ready to go home. Capillary refill of greater than 3 seconds is considered abnormal and may indicate poor peripheral perfusion.
Option d is also incorrect. A heart rate of 10 is extremely low and would be considered bradycardia. This could indicate an underlying medical issue and would require further assessment and intervention before the patient is discharged.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the food selection that has the highest fiber content per cup. According to the web search results, one cup of cooked lentils provides about 15.6 grams of fiber, which is more than half of the minimum daily requirement²³ . Lentils are also rich in protein, iron, and folate, which are important nutrients for pregnant women.
The other food selections have lower fiber content per cup.
b) Asparagus
Asparagus is a green vegetable that is high in vitamin K, folate, and antioxidants. However, it is not very high in fiber. One cup of cooked asparagus provides only about 2.8 grams of fiber².
c) Oatmeal
Oatmeal is a whole grain that is high in beta-glucan, a type of soluble fiber that can lower cholesterol and blood sugar levels. However, it is not the highest in fiber among the food selections. One cup of cooked oatmeal provides about 4 grams of fiber.
d) Cabbage
Cabbage is a cruciferous vegetable that is low in calories and high in vitamin C, vitamin K, and glucosinolates. However, it is not very high in fiber. One cup of cooked cabbage provides only about 2.9 grams of fiber².
Correct Answer is D
Explanation
The nurse would use the skill of "inspection" first when examining the cardiovascular system of a patient. The inspection involves observing the patient's physical appearance, skin color, and breathing pattern. After inspection, the nurse would move on to palpation, percussion, and auscultation.
Palpation involves feeling for pulses and areas of tenderness, while percussion involves tapping the chest to assess the density of underlying tissues. Auscultation involves listening to heart sounds using a stethoscope.
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