A nurse performing an assessment of a client with kidney failure notes that the client has the appearance of generalized edema over the entire body. How should the nurse document this finding?

A. Anasarca
B. Ecchymosis
C. Unilateral edema
D. Increased vascularity of the skin tissue


Ans: A. Anasarca

Nursing

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A woman's birth plan specifies the Odent method of childbirth. Early in her admission, the woman asks about having an epidural for pain control. Which action by the nurse is best?

A. Advise the woman that this will change her birth plan B. Ask why she wants pain control with natural childbirth C. Facilitate having the epidural catheter placed D. Review the breathing techniques for managing pain

Nursing

The nurse is preparing an educational program on hemolytic anemia for the residents of an assisted living center. Which potential causes should the nurse include in the program? Standard Text: Select all that apply

1. Insulin use 2. Aspirin use 3. Ibuprofen use 4. Anticoagulant use 5. Prosthetic heart valves

Nursing

A 5-year-old child is admitted to the pediatric intensive care unit for the treatment of multiple orthopedic injuries. The child's mother tells the nurse that the child is in extreme pain

Which of the following actions should the nurse take to begin the child's pain treatment? 1. Trust the mother's assessment and treat the child's pain accordingly. 2. Ask the child to describe pain with the Wong-Baker faces scale. 3. Use a verbal descriptor scale to measure the child's pain. 4. Use the visual analog scale to assess pain.

Nursing

The nurse is caring for a patient who reports being able to fall asleep but has difficulty staying asleep. The nurse will contact the provider to obtain an order for which medication?

a. Butabarbital (Butisol) b. Flurazepam (Dalmane) c. Secobarbital (Seconal) d. Temazepam (Restoril)

Nursing