When assessing the skin of a pregnant woman, which finding would lead the nurse to notify the health care provider?
A) Palmar erythema
B) Yellowish color
C) Spider nevi
D) Angiomas
B
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The registered nurse (RN) cares for a patient who was admitted a few hours previously with back pain after falling. Which action can the RN delegate to unlicensed assistive personnel (UAP)?
a. Finish documenting the admission assessment. b. Determine the patient's priority nursing diagnoses. c. Obtain the health history from the patient's caregiver. d. Take the patient's temperature, pulse, and blood pressure.
The nurse prepares to administer PCA to a client. Rank the nursing interventions in sequential order
1. Allow the client to depress PCA system button. 2. Prime tubing with medication from drug reservoir. 3. Instruct client that lockout time prevents overdose. 4. Insert PCA tubing into injection port nearest client.
A person has diarrhea. You know that liquid feces and frequent wiping can lead to:
a. Skin breakdown b. Dehydration c. Oliguria d. Death
Which sign/symptom is a patient who had an AP resection instructed to report to healthcare provider immediately?
a. Serosanguineous drainage from the wound b. Sensations of having a bowel movement c. Constant perineal odor and pain d. Occasional perineal pain and itching