Which condition alerts you to assess a patient for worsening heart failure?
a. Blood pressure of 106/40 mm Hg
b. Pounding headache
c. Foul urine odor
d. Ankle swelling
ANS: D
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The hospice nurse is teaching the family of a terminally ill client the signs of approaching death, including Standard Text: Select all that apply
1. Loss of muscle tone 2. Bounding pulse 3. Decreased urinary output 4. Noisy respirations 5. Stable blood pressure
The Iowa Model identifies problem-focused triggers for implementing an EBP project. Which of the following is a problem-focused trigger in the Iowa Model?
A) A finding published recently in a nursing journal B) A new clinical guideline issued by a federal agency C) An increase in latex allergy among emergency room nurses D) Questions from hospital committee
The nurse would select which of the following toys for a preschool child that is at the expected developmental level:
a. Rattle b. Crayons c. Books for self-reading d. Cradle gym
The statement made by a parent of a child with nephrosis that reflects an understanding of discharge teaching is:
a. "I will make sure he gets his hepatitis B vaccine as soon as he gets home.". b. "He can now eat all his favorites like salted French fries and popcorn.". c. "I should measure his urine when he goes to the bathroom.". d. "He should eat a low-protein diet for the next few weeks.".