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What will be an ideal response?
7:45 PM
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While examining a 14-year-old for spinal curvature, the nurse notes a slight curving of the upper spine, and documents it as which of the following?
1. Slight curve to the right noted in the superior thoracic spine. 2. Spinal column shows a slight curve to the right. 3. Spinal column appears to curve to the right. 4. Scoliosis noted on the spinal column.
The nursing care plan for a client with atrial fibrillation who lives in a nursing home will be most beneficial if it:
1. provides for an individualized approach to the client's problems or needs. 2. includes a statement of rationale for each nursing intervention. 3. primarily focuses on independent nursing actions. 4. is standardized for use with clients with similar health problems.
Which receptors are located in the aortic bodies, aortic arch, and carotid bodies?
a. Central chemoreceptors b. Stretch receptors c. J-receptors d. Peripheral chemoreceptors
A nurse conducting an eye examination notes that the client exhibits rapid, involuntary oscillating movements of the eyeball when looking at the nurse. How should the nurse document this finding?
A. Ptosis B. Nystagmus C. Scleral icterus D. Exophthalmos