Most clients with a diagnosis of shock are placed in a position that increases venous return, such as Trendelenburg position. Which type of shock requires positioning to decrease venous return?
1. hypovolemic shock
2. cardiogenic shock
3. anaphylactic shock
4. hemorrhagic shock
ANS: 2
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A Gram stain smear of the patient's discharge reveals the presence of N. gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease
Which information should the nurse include in response to his comment? a. "Women do not develop gonorrhea infections but can serve as carriers to spread the disease to males." b. "When gonorrhea infections occur in women, the disease affects only the ovaries and not the other genital organs." c. "Many women are not aware that they have gonorrhea because they often do not have symptoms of infection." d. "Women develop subclinical cases of gonorrhea that do not cause tissue damage or symptoms."
The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements for a patient with leukemia." Which goal is most realistic for this patient?
a. To gain 5 lb, eat foods high in calories at each meal. b. To avoid nausea, eat slowly, and eat small meals. c. To consume all food at every meal, offer three large meals. d. To maintain a stable weight, eat small meals, and avoid vomiting.
What is the minimum amount of time that should be allotted for a complete health history?
A) 15 minutes B) 30 minutes C) 45 minutes D) 60 minutes
The nurse needs to assess the body temperature of a client who has just smoked a cigarette and drunk hot coffee. The assessment method that the nurse should use would be:
1. Rectal. 2. Tympanic. 3. Temporal artery. 4. Axillary.