The nurse is assessing the client's peripheral pulses. What would the nurse assess for? Select all that apply
1. Bilaterality
2. Regularity
3. Strength
4. Rate
5. Arrhythmia
Correct Answer: 1,2,3,4
When assessing peripheral pulses, the nurse assesses for bilaterality, regularity, strength, and rate. The nurse could not determine if there were an arrhythmia without the use of an ECG.
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Which of the following is TRUE in the stage of "fight or flight" of the general adaptation syndrome?ANS: B During "fight or flight," the blood vessels constrict because norepinephrine and epinephrine have been released
A. Heart rate is decreased. B. The blood vessels constrict. C. The blood vessels dilate. D. Exhaustion occurs.
A client taking phenelzine (Nardil) is at a dinner party and has several glasses of red wine. The client begins to feel nauseated and develops a terrible headache. The client is taken to the nearest emergency department (ED)
This client might be experiencing a hypertensive crisis. What other symptoms might the nurse in the ED assess if the client is experiencing a hypertensive crisis? Select all that apply. A) Constricted pupils B) Chills C) Chest pain D) Tachycardia E) Stiff neck
The nurse has gathered data on four different children. Which child will most likely be further assessed and tested for autism?
A) A 16-month-old who spends 30 minutes moving empty plastic bottles in and out of a container B) An 18-month-old who enjoys spinning until she falls, then announces, "Me fall!" C) A 14-month-old whose reaction to his caregiver leaving him is to calmly repeat the statement, "Bye bye, Will. Bye bye, Will." D) A 20-month-old who frequently walks on tiptoe and smiles at her caregiver when the caregiver looks at the child
The nurse takes every measure to preserve the client's privacy and maintain confidentiality. Which measure should the nurse take with the client to help prevent dehumanization?
A) Develop rapport and trust with the client before delving into personal matters. B) Review the client's condition and treatment plan with family members. C) Avoid telling the client about pending invasive diagnostic tests. D) Emphasize with the client the costs associated with hospitalization.