Which of the following is an example of a properly constructed learning goal for the client?
a. The nurse will instruct the client on diabetic foot care.
b. The nurse will demonstrate the proper technique for trimming toenails.
c. The client will learn about foot care.
d. The client will demonstrate the proper technique for trimming toenails by the end of the week.
ANS: D
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The primary mechanism in the development of idiopathic thrombocytopenic purpura (ITP) is
a. destruction of platelets by lymphocytic antibodies. b. destruction of malignant cells through radiation or chemotherapy. c. formation of heparin antibodies. d. damage to the endothelium.
A client is suffering from rebound congestion. Which of the following would the nurse expect to do to help the client experience relief from rebound congestion? Select all that apply
A) Suggest the client switch from a topical decongestant to an oral product. B) Recommend the client switch from an oral decongestant to a topical product. C) Tell the client to abruptly discontinue the decongestant product. D) Advise the client to gradually discontinue the decongestant product. E) Suggest a saline irrigation of the nasal passages in place of the decongestant.
When explaining a surgical procedure to a client, the nurse tells the client that a small amount of which drug is sometimes added to the anesthetic solution to lengthen the duration of action of the anesthetic?
1. Epinephrine (Adrenaline) 2. Diazepam (Valium) 3. Diphenhydramine (Benadryl) 4. Lidocaine (Xylocaine)
After some rest, R.K.'s chest pain has subsided, and she tells you she feels much better now. You review her laboratory results
Laboratory Results 12-lead ECG: Light left-axis deviation, normal sinus rhythm with no ventricular ectopy Serial CPK tests are 30 units/L at admission, 32 units/L 4 hours after admission Cardiac troponin T is less than 0.01 ng/mL (at admission) and same result 4 hours after admission Cardiac troponin T is less than 0.03 ng/mL (at admission) and same result 4 hours after admission D-dimer test result less than 250 ng/mL On the basis of the information presented so far, do you believe she had an MI? What is your rationale? Do you think she may have a pulmonary embolus? While you care for R.K., you carefully observe her. Identify two possible complications of coronary artery disease (CAD) and the signs and symptoms associated with each. R.K. rings her call bell. When you arrive, she has her hand placed over her heart and tells you she is "having that heavy feeling again." She is not diaphoretic or nauseated, but states she is short of breath. What else do you assess, and what can you do to make her more comfortable?