The nurse assessing a patient with polycythemia vera would anticipate:
a. pale complexion.
b. low blood pressure.
c. high hemoglobin.
d. normal energy level.
C
The person with polycythemia vera will have high hemoglobin and hematocrit related to the large number of red cells. The complexion is ruddy with blue lips; there is fatigue and weakness and high blood pressure.
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During the fourth stage of labor, a client's blood pressure is 110/60 mmHg, pulse 90, and the fundus is firm, midline and halfway between the symphysis pubis and the umbilicus. Based on this data, which is the primary action by the nurse?
A) Massage the fundus. B) Turn the client onto the left side. C) Place the bed in the Trendelenburg position. D) Continue to monitor.
A nurse questions a client with panic disorder about whether a parent or sibling also has a panic disorder. This nurse is using a
a. behavioral approach. b. biologic approach. c. psychoanalytic approach. d. psychodynamic approach.
You are a nurse who is teaching a class of nursing students about health and wellness in society. How would you define to the students what the World Health Organization definition of health is?
A) A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity B) Factors that affect outcomes of health status, such as physical environment, social environment, health behaviors, and individual health, as well as broader factors such as access to health services and overall health policies and interventions C) Health issues and concerns that transcend national boundaries and may best be addressed by cooperative actions and solutions D) Descriptors of the general health of a nation that are grouped into four categories: morbidity and mortality, risk factors, health service coverage, and health system resources
A nurse suspects that a postpartum patient has mastitis. The following assessment provides what data to support this assessment?
1. Shooting pain in her nipple during breastfeeding. 2. Late onset of nipple pain 3. Pink, flaking, pruritic skin of the affected nipple. 4. Nipple soreness when the infant latches on.