The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)

The diaphragm of the stethoscope is used for low-pitched sounds.

The binaural should fit snugly in the ears.

Short tubing provides the listener with the most accurate sounds.

The bell of the stethoscope is used for high-pitched sounds, such as lung sounds.

The stethoscope works by blocking out environmental sounds.

Answer and Explanation

Correct Answer : B,C,E

A. The diaphragm of the stethoscope is used for high-pitched sounds, such as lung and normal heart sounds, not low-pitched sounds.

B. The binaural (earpieces) should fit snugly in the ears to ensure proper sound transmission and clarity.

C. Short tubing provides more accurate sounds by minimizing sound distortion, making it ideal for clinical use.

D. The bell of the stethoscope is used for low-pitched sounds, such as heart murmurs, not high-pitched sounds.

E. The stethoscope works by blocking out environmental sounds to help the user focus on internal body sounds.

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Correct Answer is ["A","C","D"]

Explanation

A. Decreased urine output: While not a direct sign of pneumonia, decreased urine output can be an objective finding indicative of dehydration, which often accompanies infections like pneumonia.

B. Headache: Although the client has a headache, it is a subjective symptom rather than an objective finding and is not a primary indicator of pneumonia.

C. Respiratory assessment: The respiratory assessment reveals shortness of breath, crackles in the right lower lobe, and tachypnea, which are commonly associated with pneumonia.

D. Chest X-ray: The chest X-ray shows areas of increased density and infiltrates in the right lower lobe, a hallmark finding that indicates pneumonia.

E. Religion: This does not relate to the clinical findings associated with pneumonia.

F. Bowel sounds: Normal bowel sounds are not indicative of pneumonia.

G. Perception of needles: This is irrelevant to the diagnosis of pneumonia.

Correct Answer is ["0.8"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

First, we need to find the concentration:

Concentration = 250 mg / 2 mL = 125 mg/mL

Now, we can calculate the volume:

Volume = 100 mg / 125 mg/mL = 0.8 mL

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The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department (ED) is admitting a client. Exhibits Select 3 objective findings in the client's medical record that may be indicative of pneumonia.

Correct Answer is ["A","C","D"]

Explanation

A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available is hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.8"]

Explanation

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