The nurse describes the "allergic salute" as a cluster of what signs related to chronic allergy? (Select all that apply.)
a. Mouth breathing
b. Transverse nasal crease
c. Dark circles under the eyes
d. Productive cough
e. Reddened conjunctiva
ANS: A, B, C, E
The allergic salute does not include a productive cough.
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Prior to delegating temperature measurement to assistive personnel, the nurse determines the appropriate method of measuring the client's temperature. Safety considerations include: Standard Text: Select all that apply
1. Forcing the thermometer into place to make sure it is accurate. 2. Making sure the client knows not to roll over when a rectal thermometer is in place. 3. Using the blue-tipped thermometer for an oral temperature. 4. Using a site other than oral if the client is known to have frequent seizures. 5. Using probe covers, except for axillary temperatures.
A patient is being treated for bacterial pharyngitis. Which of the following should the nurse recommend when promoting the patient's nutrition during treatment?
A) A 1.5 L/day fluid restriction B) A high-potassium, low-sodium diet C) A liquid or soft diet D) A high-protein diet
The nurse is planning care for a client admitted with a cardiac dysrhythmia. Which action would be the most appropriate for this client?
A) Restrict fluids. B) Encourage bed rest. C) Monitor serum electrolyte levels. D) Instruct in a low-fat diet.
The clinic nurse describes the respiratory system changes common to pregnancy to the new nurse. These changes include:
Select all answers that apply: A) An increased tidal volume B) A decreased airway resistance C) An increased chest circumference D) An increased airway resistance