You suspect that your patient has polymyalgia rheumatica and now are concerned that the patient may also have Giant Cell Arteritis (GCA). Which of the following two symptoms are most indicative of GCA and PMR?
A. Jaw pain and heart murmur
B. Joint swelling and sudden loss of central vision bilaterally
C. Hoarseness and the total inability to grasp small objects
D. Scalp tenderness and aching in shoulder and pelvic girdle
D
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When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8 degrees F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority?
A) Hypothermia related to heat loss during birthing process B) Impaired parenting related to addition of new family member C) Risk for deficient fluid volume related to insensible fluid loss D) Risk for infection related to transition to extrauterine environment
When caring for clients with STDs, the nurse is aware that the best method of infection control is
a. good hand-washing. b. disease-based isolation techniques. c. no extra infection control measures. d. universal precautions.
During change-of-shift report on a medical unit, the nurse learns that a patient with aspiration pneumonia who was admitted with respiratory distress has become increasingly agitated. Which action should the nurse take first?
a. Give the prescribed PRN sedative drug. b. Offer reassurance and reorient the patient. c. Use pulse oximetry to check the oxygen saturation. d. Notify the health care provider about the patient's status.
A nurse at a long-term care facility is caring for a client with myasthenia gravis. What important teaching should the nurse provide for this client?
A) Wear Medic-Alert tag whenever he has to go out alone. B) Avoid exposure to temperature extremes and infections. C) Have regular eye examinations to check intraocular pressure. D) Avoid any form of exercise or activity to conserve energy.