A small ° after the temperature value indicates
A. that the temperature was taken orally.
B. that the Celsius scale was used.
C. that the Fahrenheit scale was used.
D. the degrees of temperature.
Answer: D
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While caring for a patient with a basilar skull fracture, the nurse assesses clear drainage from the patient's left naris. What is the best nursing action?
a. Have the patient blow the nose until clear. b. Insert bilateral cotton nasal packing. c. Place a nasal drip pad under the nose. d. Suction the left nares until the drainage clears.
Which finding should produce the most concern when performing pin care for a patient with an external fixator?
a. Crusts around the pin b. Serous drainage on the dressing c. Purulent drainage d. Absence of pain
When caring for patients on vasodilators that dilate veins, the nurse must monitor for which of the following groups of adverse side effects, which result from decreased preload, decreased cardiac output, and decreased tissue perfusion?
a. Increased chest discomfort, shortness of breath, and increased urine output b. Increased afterload, decreased blood pressure, and presence of carotid bruit c. Decreased urine output, decreased cognitive ability, and decreased peristalsis d. Increased shortness of breath, palpitations, and varicose veins
The nurse is working with a student nurse. Which step of the nursing process should the nurse encourage the student to use when creating an appropriate educational session for families who are considering pregnancy?
A. Assessment B. Planning C. Implementation D. Evaluation