The nurse conducting a physical assessment on a client with ascorbic acid (vitamin C) deficiency would assess that the clinical manifestation associated with this problem is
a. bumpy or scaly skin.
b. ecchymotic skin lesions.
c. extremity edema.
d. muscle tetany.
B
Evidence of vitamin C (ascorbic acid) deficit includes gingivitis, dry mouth, alopecia, pruritus, and ecchymotic lesions on the skin.
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A nurse cares for a client who is recovering from laparoscopic cholecystectomy surgery. The client reports pain in the shoulder blades. How should the nurse respond?
a. "Ambulating in the hallway twice a day will help." b. "I will apply a cold compress to the painful area on your back." c. "Drinking a warm beverage can relieve this referred pain." d. "You should cough and deep breathe every hour."
It is most important for the nurse to include which instruction when educating a patient who has had laryngeal papillomas removed?
1. "If you experience recurrent hoarseness, come in for a check-up." 2. "You should come in if you have worsening respiratory distress so we can intubate you quickly." 3. "Next time we can remove them in the office, so no admission is necessary." 4. "Papillomas rarely cause airway obstruction."
The nurse obtains vital signs on a 6-hour-old newborn. The nurse would consider which of the following assessment findings indicative of respiratory distress?
A) Respirations are irregular and shallow. B) Hands and feet are blue. C) Respiratory rate is 50. D) The nostrils flare with each breath.
The nurse is caring for a patient who has a newly casted, fractured wrist. Data collection reveals slightly puffy fingers with good capillary refill. What should the nurse do now to prevent complications?
a. Notify the RN. b. Apply heat to the cast. c. Elevate the cast on pillows. d. Remove the pillow under the cast.