Normal oral temperature
What will be an ideal response?
96.4-99.1
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A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. The nurse should:
1. Apply pressure to the area for at least 15 minutes. 2. Apply a warm, moist pack to the area. 3. Perform some passive range-of-motion to the affected leg. 4. Keep the affected extremity in a dependent position.
You call the attending physician to notify the physician that your client, who has suffered a myocardial infarction, is dying
You have worked in the coronary care unit for 11 years, and you recognize the clinical picture of impending death. You are operating in which of Benner's stages of professional skill development? 1. advanced beginner 2. competent 3. proficient 4. expert
The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope?
1. Intercostal space, sixth rib near the sternum 2. Intercostal space, fourth rib near the axillary line 3. Below the scapula 4. Near the right clavicle
An outpatient who has chronic heart failure returns to the clinic after 2 weeks of therapy with metoprolol (Toprol XL). Which assessment finding is most important for the nurse to report to the health care provider?
a. 2+ pedal edema b. Heart rate of 56 beats/minute c. Blood pressure (BP) of 88/42 mm Hg d. Complaints of fatigue