Nr224 Exam 1 Test Updated

Which of the following patients is at most risk for tachypnea? (Select all that apply.) A. Patient just admitted with four rib fractures B. Woman who is 9 months' pregnant C. Adult who has consumed alcoholic beverages D. Adolescent awaking from sleep {Ans: A & B}The nurse is assessing the character of a patient's migraine headache and asks, "Do you feel nauseated when you have a headache?" The patient's response is "yes." In this case the finding of nausea is which of the following? A. an objective finding B. A clinical inference C. A validation D. A concomitant symptom {Ans: D. a concomitant symptom}During the review of systems in a nursing history, a nurse learns that the patient has been coughing mucus. Which of the following nursing assessments would be best for the nurse to use to confirm a lung problem? (Select all that apply.) A. family report B. chest x ray film C. physical examination with auscultation of the lungs D. Medical record summary of x ray findings {Ans: C & D}The nurse makes the following statement during a change of shift report to another nurse. "I assessed Mr. Diaz, my 61-year-old patient from Chile. He