A nurse is preparing to assess a client's ability to detect vibrations. Which piece of equipment is appropriate for this assessment?
a. Reflex hammer
b. Tuning fork
c. Goniometer
d. Monofilament
ANS: B
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On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1 ° F (40.1 ° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. Which action should the nurs
a. Encourage the client to drink cool water or sports drinks. b. Start an intravenous line and infuse 0.9% saline solution. c. Administer acetaminophen (Tylenol) 650 mg orally. d. Encourage rest and re-assess in 15 minutes.
A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. What conditions would contraindicate labor induction? (Select all that apply.)
a. Maternal gynecoid pelvis b. Placenta previa c. Horizontal cesarean incision d. Prolapsed cord e. Gestational diabetes
A 76-year-old man, hospitalized for treatment following a stroke, asks the nurse how long he can expect Medicare to cover his treatment. The nurse's most informative response is:
1. "Your Part B will cover your hospital care as long as is necessary." 2. "Your care provider will determine how long your Medicare coverage will be in effect." 3. "You are allowed 50 days of inpatient care annually." 4. "You can receive skilled care for up to 100 days."
A patient will receive oral ciprofloxacin [Cipro] to treat a urinary tract infection. The nurse provides teaching for this patient. Which statement by the patient indicates a need for further teaching?
a) "I may have abdominal pain and nausea, but these are usually mild." b) "I should take this medication with food or milk to improve absorption." c) "I should stop taking the medication immediately if I experience heel pain." d) "I will need to use sunscreen every time I go outdoors."