The nurse is using inspection to assess the breasts of a female client. Which finding should the nurse anticipate documenting?
A. Skin consistency.
B. Tenderness.
C. Symmetry.
D. Hard nodules.
Answer: C
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The nurse is administering an intravenous antibiotic infusion over 30 minutes for a patient with cellulitis of the left lower extremity. The patient states, "I am itching all over and am having trouble swallowing
" What priority interventions by the nurse are necessary for this patient? Select all that apply. A) Stop the antibiotic infusion. B) Administer subcutaneous epinephrine. C) Administer diphenhydramine (Benadryl) IV. D) Switch to amoxicillin by mouth. E) Administer Ativan for the patient's anxiety.
A patient receives an injury to the skin that causes minor blood loss. Primary hemostasis is activated, during which:
A) Severed blood vessels constrict. B) Thromboplastin is released. C) Prothrombin is converted to thrombin. D) Fibrin is lysed.
The nurse is developing a teaching plan for a client who is going home with a tracheostomy tube. Which of the following is the MOST important part of the teaching plan?
a. Client should keep pen and paper by the bedside for communication. b. It is permissible for the client to go swim-ming. c. The family or significant others should know what to do in case of an emergency, i.e.,: clogged tracheostomy tube and how to suction the client. d. Keep a bell by the patient so he can call for help whenever needed.
Which symptom(s) would be consistent with a paradoxical response associated with melatonin use? (Select all that apply.)
a. Drowsiness b. Agitation c. Insomnia d. Poor concentration e. Jet lag