When preparing to assess a client's blood pressure, the nurse observes for indications to using the client's thigh for and standard stethoscope, such as:(Select all that apply) Standard Text: Select all that apply
1. Unilateral mastectomy
2. Intravenous infusions in both arms
3. Burns on upper body, including shoulders or hands
4. Bilateral mastectomy
5. Arteriovenous fistula
2,3,4
Rationale: The client with a unilateral mastectomy should have the blood pressure measured on the not-affected arm
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The nurse is caring for a client with chronic nasal congestion. The client is being treated with phenylephrine (Neo-Synephrine). What are some possible nursing diagnoses for this client? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Constipation 2. Knowledge deficit, related to drug therapy 3. Urinary retention 4. Ineffective breathing pattern 5. Anxiety
A mother tells the nurse that her child has experienced pain lasting for long periods of time with the pain coming and going. The nurse would describe this pain in her assessment as which of the following kinds of pain?
a. acute pain c. strange pain b. moderate pain d. chronic pain
A group of nursing students have been assigned the task of teaching a module on mental health assessment during their problem-based learning class. Which of the following actions reflects group development in the initial stage?
A) Evaluating the group experience B) Developing models for cooperation C) Engaging in conflicts and resolving them efficiently D) Seeking similarities among the group members
Vitamin and mineral supplementation is usually not needed if an individual consumes a well-balanced ________.
Fill in the blank(s) with the appropriate word(s).