The nurse assesses an enlarged thyroid in a patient during the physical examination of the head and neck. What should the nurse do next?
A) Displace the trachea to the right.
B) Listen over the thyroid with a stethoscope.
C) Ask the patient to sip and swallow water.
D) Ask the patient to flex the neck forward.
B
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The nurse is providing care for a teenager with otitis media. When assessing the patient for potentially adverse effects of Cortisporin Otic, what question should the nurse ask?
A) "Have you developed a fever since you started to use the ear drops?" B) "Have you been getting any headaches since you started taking the drops?" C) "Has there been any blood that you've noticed in your outer ear?" D) "Have you noticed any loss of hearing since you started taking the drops?"
The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE). Which client statement indicates an appropriate understanding of the plan of care?
A) "I will take birth control pills while I am taking cytotoxic medications." B) "I do not need to contact the doctor if I develop a fever or rash." C) "I plan to go to the movies this weekend so that I get out of the house." D) "I can take aspirin as indicated for pain."
A patient has a venous ulcer. Your care should include:
a. Keeping the person's linens dry and wrin-kle-free b. Massaging pressure points and reddened areas c. Rubbing the person's skin after bathing d. Keeping the person's heels on the bed
The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for a client with myasthenia gravis. The nurse determines that learning has occurred when the client makes which statement?
A. "My heart may beat slower while I am on this drug." B. "I will need to increase my fluid intake with this medication." C. "I must take this medication immediately before eating a full meal." D. "It is really important to take my medication on time."