A patient is diagnosed with Paget disease. What should the nurse expect to assess in this patient? Select all that apply.
A. Elevated phosphorus levels
B. Previous pathologic fractures to the vertebra
C. Pain and aching in the spine at night that is aggravated by pressure
D. Flushing of the skin over the spine
E. Scoliosis
Answer: D
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A client familiar to the nurse is grief-stricken and in tears after learning that his wife has decided to file for divorce and sue for full custody of their children
Which of the following actions by the nurse are appropriate? Standard Text: Select all that apply. 1. Wiping away the client's tears without permission 2. Asking the client if it is okay to give him a hug 3. Holding the client's hand with his permission 4. Patting the client on the shoulder and offering reassurance
A patient receiving an ACE inhibitor has a blood pressure of 85/50 mm Hg. The patient is asymptomatic otherwise. What is the best nursing action?
A) Hold the medication because the blood pressure is too low. B) Recheck the blood pressure in 1 hour. C) Administer the medication because the patient is asymptomatic. D) Reschedule time of medication administration to hour of sleep.
What does maintaining eye contact for 2 to 6 seconds during communication with a patient do?
a. Keeps the nurse's attention on the conversation b. Counteracts shyness in the patient c. Indicates continuous focused attention d. Assesses if the patient is involved in the conversation
When working with a patient in which type of isolation would it be necessary to use an N-95 respirator?
a. standard precautions c. droplet precautions b. airborne precautions d. contact precautions