The nursing student is assisting in the care of a patient with advanced right-sided heart failure. In addition to bringing a stethoscope, what additional piece of equipment does the student bring in order to assess this patient?
a. Tape measure
b. Glasgow coma scale
c. Portable Doppler
d. Bladder ultrasound scanner
Answer: b. Glasgow coma scale
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Which principle will the nurse consider when preparing instructional information for an older client who will be responsible for wound care after discharge? Select all that apply
a. The ability to understand written instructions deceases with age. b. Learning new tasks is difficult for the aging individual c. Provide ample time for the client to ask questions concerning the information d. Use a variety of different methods to reinforce the client's learning e. Readiness to learn must be assessed before instruction begins
Family members are in the patient's room when the patient has a cardiac arrest and the staff start resuscitation measures. Which action should the nurse take next?
a. Keep the family in the room and assign a staff member to explain the care given and answer questions. b. Ask the family to wait outside the patient's room with a designated staff member to provide emotional support. c. Ask the family members about whether they would prefer to remain in the patient's room or wait outside the room. d. Tell the family members that patients are comforted by having family members present during resuscitation efforts.
A child who is nutritionally deprived is diagnosed with beriberi. The nurse should focus teaching with the caregivers on which vitamin?
A) Thiamine B) Vitamin C C) Niacin D) Iron
When assessing a client for the typical signs and symptoms of Parkinson disease, which clinical manifestations would the nurse expect to find?
1. Tremors, a masklike facial expression, and a rigid posture 2. Shuffling gait, confusion, and postural instability 3. Tremors and hyperkinesia 4. A masklike expression and generalized muscle weakness