MC You receive an order to monitor pedal pulses every hour on a client with peripheral vascular disease. Your first assessment reveals a strong pedal pulse on the right and an apparent absence of a pulse on the left side
Your next intervention would be to A. Obtain a Doppler stethoscope and auscultate for blood flow.
B. Take the client's blood pressure to determine if client is hypotensive.
C. Warm the client's extremity and assess in 15 minutes.
D. Assess for the presence of a posterior tibial and popliteal pulse.
D
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The nurse is providing care to a client diagnosed with respiratory syncytial virus (RSV) bronchiolitis. Which assessment finding indicate that treatment has been effective?
A) Client ingesting small amounts of clear fluids when encouraged B) Client resting in bed with limited interest in play or activities C) Client respiratory rate within normal limits for age D) Client coughing copious amounts of green sputum and requires occasional suctioning.
A client is admitted for complications following a routine diagnostic procedure of the colon. Which type of care plan will most likely be implemented for this client?
1. Informal nursing care plan 2. Formal nursing care plan 3. Standardized care plan 4. Individualized care plan
The nurse is working in an adolescent medical clinic. What can the nurse anticipate when comparing adolescents in the clinic with chronic conditions to their peers?
1. A high level self-esteem 2. A concern for their parents 3. An altered body image 4. A decreased concern about their appearance
The nurse observes the health care provider apply a cast made of strips of open-weave cotton saturated with powdered calcium sulfate crystals. When documenting this procedure, which term should the nurse use for this type of cast?
1. Plaster cast 2. Synthetic cast 3. Fiberglass cast 4. Thermoplastic cast