An increase in fluid within a bursa is manifested by which of the following characteristics?
A. A decrease in the expected ROM of the joint
B. Crepitus heard when putting the joint through ROM
C. A bulge that appears on the opposite side of the joint after pushing on the other side
D. Subluxation of the joint after flexing and extending the joint
Ans: C. A bulge that appears on the opposite side of the joint after pushing on the other side
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When measuring a patient's body temperature, the nurse keeps in mind that body temperature is influenced by:
a. Constipation. b. Patient's emotional state. c. Diurnal cycle. d. Nocturnal cycle.
The nurse prepares to discharge an older male adult who has heart failure and is in stable condition, when his wife states that she will avoid sexual activities with him because of his heart disease
Which should the nurse use in patient teaching about sexual activity for an older adult with heart failure? a. An older adult with heart failure should avoid sexual relations because of the de-mand it places on his heart. b. Sexual relations and climbing six flights of stairs expends the same amount of energy. c. Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily. d. Sexuality is a private matter between the older male adult and his wife.
An older client is experiencing diarrhea and a fever. Which assessment finding indicates that this client is dehydrated? (Select all that apply.)
a. Agitation and restlessness b. Dark yellow urine c. Orthostatic hypotension d. Three-pound weight gain e. Mucous membranes moist
The nurse assesses urine output following administration of a diuretic. Which step of the nursing process does this nursing action reflect?
A) Assessment B) Outcome identification C) Implementation D) Evaluation