Q.4h
What will be an ideal response?
every four hours
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The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-filled blister?
a. Pustule b. Papule c. Wheal d. Vesicle
Mr. Williams, a 62-year-old patient, presents for a physical examination. You suspect a vitamin D deficiency. Which of the following assessment findings might lead the examiner to suspect vitamin D deficiency?
a. Spinal curvature and bowed legs b. Night blindness and dry eyes c. Neuropathy and seizures d. Nausea and insomnia
Through genetic testing, parents learn that their adolescent child has long QT syndrome. What instructions regarding health protection should the nurse provide to this family?
Select all that apply. 1. Avoid loud music. 2. Limit the intake of citrus fruits. 3. Avoid foods with extra sodium. 4. Practice caution when exercising. 5. Restrict the intake of dairy products.
Ms. Harding is being evaluated for outcomes of her pain interventions. Which set of facts demonstrates that Ms. Harding has met the goals for successful pain intervention?
A. Ms. Harding reports pain is relieved or reduced. Overall discomfort is not relieved. She is not satisfied with management. All vital signs are on the low end of normal. Pulse oximetry remains over 92%. She is not experiencing or is managing any medication side effects. B. Ms. Harding reports pain is relieved or reduced. Overall discomfort is relieved. She is satisfied with management. All vital signs are within normal limits (WNL). Pulse oximetry remains over 95%. She is not experiencing or is managing any medication side effects. C. Ms. Harding reports pain is not relieved. Overall discomfort is somewhat relieved. She is unsure if she is satisfied with management. All vital signs are within normal limits (WNL). Pulse oximetry remains over 90%. She is not experiencing or is managing any medication side effects. D. Ms. Harding reports pain is relieved or reduced. Overall discomfort is varying in relief. She is satisfied with management. All vital signs are within normal limits (WNL). Pulse oximetry remains over 90%.