A nurse documents which of the following as a normal finding when examining the thyroid gland of an older adult client?
A) Nodularity
B) Tenderness
C) Enlargement
D) Bruits
A
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A client who is disabled due to stroke is discharged from a health care unit and an LPN is assigned to provide nursing care to the client at home. This is an example of which kind of care?
A) Extended care B) Secondary care C) Tertiary care D) Primary care
The nurse notes cigarette burns on the back of an adolescent patient while providing routine care. After initial hesitation, the patient tells the nurse that her mother burns her when she is "bad." The patient then begs the nurse not to tell any
What is the appropriate statement by the nurse? 1. "Don't worry, I won't break your confidence." 2. "I have to tell or I'll get in big trouble myself." 3. "I'm sorry, but it is my responsibility to report that your mother is burning you with a cigarette." 4. "OK, but can I get your permission to tell your doctor this is happening?"
A staff nurse works for 10 days straight when a nurse manager asks her to work a double shift. Which represents a passive–aggressive response by the staff nurse?
A) "Get someone else to work 3 to 11! I've been working 10 days straight, and I need a break!" B) "Okay. I'll do it," then purposefully leaving tasks undone when she leaves the unit at 11 P.M. C) "I have worked 10 days straight, and I cannot work tonight. I will work for you tomorrow if you need me." D) "Yes, I'll do it. Anything to keep peace with the staff is a good thing, I guess."
A patient with quadriplegia from a C5 injury is wearing a Halo vest and begins to experience a throbbing headache and nausea. What should the nurse do first?
a. Check the patient's blood pressure. b. Do a digital rectal examination for the presence of an impaction. c. Notify the charge nurse or physician immediately of the patient's headache. d. Advise the patient that sitting in the wheelchair will help relieve the headache.