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A nurse is auscultating the lungs of a patient and hears a high-pitched, whistling sound during expiration. This is most consistent with which of the following?

Before providing care, how should the nurse verify a patient’s identity to ensure accurate treatment?  

A nurse is assisting a client with ambulating around the nursing station. Which of the following steps of the nursing process is the nurse performing?

To promote patient safety for the patient, the nurse should ensure what three things are addressed before leaving the room? 1. 2. 3.  

45. Which assessment data indicates the client may be developing Acute Respiratory Distress Syndrome (ADRS)?

A patient’s temperature is measured at 99.5°F (37.5°C). How should the nurse interpret this finding?

 A patient presents with a temperature of 40°C. Multiple nursing interventions can be implemented for the temperature, identify two in the blank provided.   

The nurse is completing a history and physical of an adolescent diagnosed with a conduct disorder.  What assessment findings would the nurse associate with this condition?  SELECT ALL THAT APPLY.   

A young adult admitted with a diagnosis of paranoid schizophrenia is pacing the halls and is agitated.  The nurse hears the following, “I have to get away from those doctors! They are trying to commit me to the state hospital!”  Which ongoing assessment should the nurse perform?

The home health nurse is caring for a 28-year-old client with a T10 spinal cord injury who says, “I can’t do anything. Why am I so worthless?” Which statement by the nurse would be the most therapeutic?