When assessing a client's level of stress caused by significant life events, which of the following would the nurse use?
A. Holmes and Rahe's theory
B. Selye's general adaptation syndrome theory
C. The general systems theory
D. Lazarus's theory
Answer: A. Holmes and Rahe's theory
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A nurse sees a baby whose left arm is in a flexed position and is held in place by pinning the cuff of the baby's T-shirt sleeve to the opposite shoulder. What can the nurse conclude about this baby?
A. Broken clavicle B. Broken wrist C. Duchenne-Erb paralysis D. Klumpke paralysis
A nurse is assessing families in the community for child maltreatment. Which family would the nurse identify as being at highest risk?
A. Children involved in many activities B. Family with multiple children C. Older parents with only children D. Single mother living in poverty
When inspecting the abdomen of a client with cirrhosis, the nurse observes that the veins over the abdomen are dilated. The nurse documents this finding as which of the following?
A) Gynecomastia B) Cutaneous spider angiomata C) Caput medusae D) Palmar erythema
What precautions/instructions should the nurse provide to the client initiating chronic digoxin therapy?
A. Avoid taking aspirin or aspirin-containing products. B. Increase your fluid intake to at least 3000 mL daily. C. Do not take this medication if your pulse rate is below 80 beats/min. D. Do not take this medication within 1 hour of taking an antacid.