A nurse performs a general survey on a patient who is being admitted to the hospital for COPD. Which of the following are components of this type of assessment? Select all that apply
A) Vital signs
B) Gait
C) Lab tests
D) Behavior
E) BMI
F) Breathing patterns
A, B, D, E
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The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. During an inspection of his mouth, the nurse should look for:
a. Swollen, red tonsils. b. Ulcerations on the hard palate. c. Bruising on the buccal mucosa or gums. d. Small yellow papules along the hard palate.
You are admitting a patient to your rehabilitation unit who has a diagnosis of persistent, severe pain. According to the patient's history, the patient's pain has not responded to conventional approaches to pain management
What treatment would you expect might be tried with this patient? A) Intravenous analgesia B) Long-term intrathecal or epidural catheter C) Oral analgesia D) Intramuscular analgesia
Why are nursing care plans developed and used?
A. To establish a format from which nursing interventions can be scientifically tested B. To comply with the Joint Commission on Accreditation of Health Care Organiza-tions C. To organize and prioritize nursing care for an individual D. To ensure input from all disciplines in planning client care
A nurse is asked to monitor the condition of a client in whom an elastic roller bandage has been to the leg. Which might indicate a block in the circulation to the extremities?
A) Change of color in the toes and severe pain in the legs B) Increase in the temperature over the toes C) Symptoms of fever and vomiting D) Symptoms of rashes and itching over the legs