After teaching a group of students about blood pressure and Korotkoff's sounds, the instructor determines that the teaching was successful when the students identify which of the following?
A) Phase I reflects the diastolic pressure.
B) Phase IV sounds are clear and repetitive.
C) Phase V reflects the systolic pressure.
D) Phase II sounds appear muffled and swishing.
D
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The nurse is collecting data during an initial assessment. The data that can be seen, heard, measured, or felt and is objective is called a(n):
a. symptom. b. observation. c. sign. d. assessment.
The postpartum mother tells the nurse she is afraid to have a bowel movement because of her painful episiotomy. What should the nurse do?
a. Offer a suppository or enema. b. Encourage ambulation. c. Offer stool softeners as prescribed. d. Offer pain medication before defecating.
A female patient who begins taking spironolactone [Aldactone] as an adjunct to furosemide [Lasix] complains that her voice is deepening. What will the nurse do?
a. Contact the provider to obtain an order for a complete blood count (CBC) and liver function tests. b. Explain that this drug binds with receptors for steroid hormones, causing this effect. c. Report this side effect to the provider and request another medication for this pa-tient. d. Teach the patient to report any associated cough, which may indicate a more severe side effect.
Sandra is 42 years old and has just been diagnosed with leukemia and is complaining of bone and joint pain. Which type is probably the culprit?
a. Acute lymphocytic leukemia (ALL) b. Acute myelogenous leukemia (AML) c. Chronic myelogenous leukemia (CML) d. Chronic lymphocytic leukemia (CLL)