What additional physical assessment parameter should be included in the examination of a client diagnosed with hypertension?
A. Skin examination for telangiectasis
B. Otoscopic examination of the inner ear
C. Funduscopic examination of the retina
D. Neurologic examination of the cranial nerves
C
The physical examination of a client with hypertension should include examination of the retina, because the appearance of the retina is a reliable index of the severity of the hypertension.
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Which term is used to describe the process by which a person assumes or develops a new role?
1. Norm validation 2. Role transition 3. Cognitive dissonance 4. Role incumbent
The nurse obtains initial vital signs on a patient 2 weeks posttransplant who presents for follow-up monitoring to the outpatient transplant clinic. Which assessment finding by the nurse requires immediate action?
a. Blood pressure of 100/60 mm Hg b. Serum creatinine of 1.5 mg/dL c. Hemoglobin of 9.2 gm/dL d. Tenderness over graft site
A patient is receiving rapid infusion of hypertonic sodium chloride solution. To determine if too much fluid is being infused too rapidly, the nurse will frequently assess the patient for:
1. increased urine output. 2. requests for high-sodium PO fluids. 3. pulmonary edema. 4. hypotonic volume contraction.
Which of the following frequently occurs in complex critical thinking?
a. The active seeking of new knowledge b. Determination of the significance of a problem c. Learning what is actually happening in a situation d. Awareness that conflicting solutions to a problem exist