Which query by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

What medications have you taken for your cough?

What medications are you currently taking?

Have you been prescribed any medications for your cough?

Have you tried any generic brands of cough syrup?

Answer and Explanation

The Correct Answer is A

Choice A rationale

This open-ended question encourages the client to provide a comprehensive list of all medications, both prescription and over-the-counter, that they have used for their cough. This approach minimizes leading the client and maximizes the opportunity for the client to recall and articulate their complete medication history, including dosage and duration.

Choice B rationale

This question is broad and asks about all current medications, which may not specifically focus on the chronic cough. While important for a general medication history, it might not elicit the specific information needed regarding therapies used *for the cough*, potentially missing medications taken in the past or those specifically targeting the cough.

Choice C rationale

This is a closed-ended question that elicits a "yes" or "no" response. While it confirms prescription medication use, it does not encourage the client to elaborate on the specific names, dosages, or effectiveness of those medications, thereby limiting the depth of information obtained about their chronic cough management.

Choice D rationale

This question is very specific and focuses only on generic brands of cough syrup, which is a narrow scope. It might inadvertently exclude information about brand-name medications, other forms of cough medications (e.g., pills, inhalers), or other types of treatments the client may have tried for their chronic cough, thus limiting a full history.

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Correct Answer is B

Explanation

Choice A rationale

Obtaining a pulse oximeter reading from two extremities assesses peripheral oxygen saturation and perfusion. While vital for overall circulatory status, it does not provide direct auditory information about cardiac events and therefore cannot assist in identifying or characterizing extra heart sounds.

Choice B rationale

The bell of the stethoscope is specifically designed to effectively detect low-frequency sounds. Many extra heart sounds, such as S3 (ventricular gallop) and S4 (atrial gallop), are low-pitched and are best appreciated by applying the bell lightly to the chest wall, allowing these subtle vibrations to be transmitted.

Choice C rationale

Auscultating for one minute with the stethoscope's diaphragm is primarily used for higher-pitched sounds, such as S1, S2, and certain murmurs. The diaphragm filters out lower frequencies, making it less effective for detecting and characterizing the subtle, often low-pitched, extra heart sounds.

Choice D rationale

Using a Doppler ultrasound primarily detects and amplifies blood flow, often used for assessing peripheral vascular sounds or fetal heart tones. It does not provide the nuanced acoustic fidelity required for differentiating and characterizing distinct extra heart sounds that signify specific cardiac abnormalities in an adult.

A. Forearm pronation. B. Hyperextension and palmar flexion. C. Forearm supination. D. Plantar flexion.

Correct Answer is B

Explanation

Choice A rationale

Forearm pronation involves rotating the forearm so the palm faces posteriorly or downward. While a component of upper extremity assessment, it primarily assesses the radioulnar joints and is not the most direct or specific motion for evaluating the integrity and mobility of the wrist joint itself.

Choice B rationale

Hyperextension and palmar flexion are fundamental movements of the wrist joint, directly assessing its range of motion in the sagittal plane. Ecchymosis often indicates soft tissue injury, and evaluating these specific movements helps pinpoint potential ligamentous or bony involvement, guiding subsequent diagnostic steps.

Choice C rationale

Forearm supination involves rotating the forearm so the palm faces anteriorly or upward. Similar to pronation, this movement primarily assesses the radioulnar joints and is not the primary motion used to evaluate the specific flexion and extension capabilities of the carpal bones and wrist ligaments.

Choice D rationale

Plantar flexion is a movement of the ankle joint, referring to the pointing of the toes downward. This motion is completely unrelated to assessing wrist mobility and is an inappropriate assessment for a client presenting with wrist pain and ecchymosis.

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Which query by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse detects a possible extra heart sound while assessing an adult client. To verify this finding, which action should the nurse take?

Correct Answer is B

Explanation

A client is seen in the emergent care clinic for right wrist pain with a pattern of ecchymosis observed on the wrist. Which motion should the nurse instruct the client to perform to assess the wrist mobility?

Correct Answer is B

Explanation

When assessing a client's mouth, which finding requires immediate follow-up by the nurse?

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The nurse is assessing older adult clients in a community health clinic. Which assessment finding is an indicator for immediate medical follow-up?

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