What is a client's blood pressure of 180/110 mm Hg an example of?
a. Information
b. Knowledge
c. Skill
d. Data
D
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The nurse is caring for a patient with a cold who presents to the emergency department after having taken diphenhydramine (Benadryl), a glass of wine, and four shots of whiskey to "kill" the cold
The nurse should observe the patient for apparent signs of a. vomiting and gastrointestinal upset. b. central nervous system depression. c. dryness in the oral mucosa. d. mydriasis.
A nurse in a primary care physician's office receives a call from a client whose urine is dark in color
The nurse asks some questions about symptoms related to urinary tract infections and decides that the client might have hematuria, which can best be described as: a. the urge to urinate frequently c. a weak urinary stream b. blood in the urine d. anemia
A coworker tells a pediatric nurse that he suspects his neighbors are abusing their children, but he doesn't want to get involved. The nurse assures him that he can report the suspected abuse: (Select all that apply.)
a. Without giving his name b. Without fear of reprisal from the neighbor c. With assurance of an investigation within 72 hours d. Through any member of the clergy e. In writing, by registered mail
The nurse is caring for a patient following a thyroidectomy. Which postoperative assessment activity is most important in detecting thyrotoxic crisis?
a. Monitor the surgical dressing. b. Monitor vital signs. c. Assess hand grips and foot presses. d. Assess for confusion and delirium.