6. The nurse is performing a respiratory assessment of an adult patient and is attempting to distinguish between vesicular Broncho vesicular, and bronchial breath sounds . The nurse should distinguish between these normal breath sounds on what basis? A. Their location over a specific area of the lung B. The volume of the sounds C. Whether they are heard on inspiration or expiration D. Whether or not they are continuous breath sounds 7. The nurse is assessing the skin conditions of the patients and the nurse notes that the hypertrophic scarring because of excess collagen formation; raised and irregular overgrows of the original wound. The conditions would likely; A. Petechiae B. Ecchymosis C. Keloid D. Fibrosis 8. Which of the following theorist decreased mortality by improving sanitation in the battlefields. resulting in a decrease in illness and infection? A. Dorothea Orem C. Martha Rogers B. Florence Nightinga D. Virginia Henderson 9. Which of the following degree of needle insertion is used for the intradermal route of drug administration? A. 45^0 B. 10^0 to 15^0 C. 90^circ D. 25^0 10. A nurse is planning care for the client diagnosed with chronic obstructive pulmonary disease (COPD) who has a respiratory rate of 32breath/minute elevated blood pressure , and fatigue. Which nursing diagnosis is the priority for this client? A. Ineffective Coping B. Impaired nutrition C. Anxiety D. Ineffective Breathing Pattern

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6. The nurse is performing a respiratory assessment of an adult patient and is attempting to distinguish between vesicular Broncho vesicular, and bronchial breath sounds . The nurse should distinguish between these normal breath sounds on what basis? A. Their location over a specific area of the lung B. The volume of the sounds C. Whether they are heard on inspiration or expiration D. Whether or not they are continuous breath sounds 7. The nurse is assessing the skin conditions of the patients and the nurse notes that the hypertrophic scarring because of excess collagen formation; raised and irregular overgrows of the original wound. The conditions would likely; A. Petechiae B. Ecchymosis C. Keloid D. Fibrosis 8. Which of the following theorist decreased mortality by improving sanitation in the battlefields. resulting in a decrease in illness and infection? A. Dorothea Orem C. Martha Rogers B. Florence Nightinga D. Virginia Henderson 9. Which of the following degree of needle insertion is used for the intradermal route of drug administration? A. 45^0 B. 10^0 to 15^0 C. 90^circ D. 25^0 10. A nurse is planning care for the client diagnosed with chronic obstructive pulmonary disease (COPD) who has a respiratory rate of 32breath/minute elevated blood pressure , and fatigue. Which nursing diagnosis is the priority for this client? A. Ineffective Coping B. Impaired nutrition C. Anxiety D. Ineffective Breathing Pattern

Answer 1

6. The nurse should distinguish between vesicular, broncho-vesicular, and bronchial breath sounds based on their location over a specific area of the lung. Vesicular breath sounds are low-pitched, soft, and heard over most of the lung fields. Broncho-vesicular breath sounds are medium-pitched, low-intensity, and heard over the major bronchi. Bronchial breath sounds are high-pitched, loud, and harsh, and heard over the trachea and large bronchi.7. The condition described, where there is hypertrophic scarring due to excess collagen formation and raised, irregular overgrowths of the original wound, is likely to be a keloid. Keloids are a type of raised scar that occurs where the skin has healed after an injury. They can grow to be much larger than the original wound and may continue to grow over time.8. Florence Nightingale is the theorist who decreased mortality by improving sanitation in the battlefields, resulting in a decrease in illness and infection. She is known for her work during the Crimean War, where she implemented strict hygiene practices and improved sanitation, which significantly reduced the mortality rate among soldiers.9. The degree of needle insertion used for the intradermal route of drug administration is

to

. Intradermal injections are used to test for allergies or tuberculosis, and the needle is inserted just into the dermis layer of the skin.10. The priority nursing diagnosis for a client diagnosed with chronic obstructive pulmonary disease (COPD) who has a respiratory rate of

, elevated blood pressure, and fatigue is "Ineffective Breathing Pattern". This is because the elevated respiratory rate and fatigue indicate that the client is experiencing difficulty in breathing effectively, which is a primary concern in managing COPD.

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