The nurse is concerned that a pregnant patient is experiencing endocrine changes. What did the nurse most likely assess in this patient? (Select all that apply.)
A) Varicose veins
B) Nausea and vomiting
C) Enlarged thyroid gland
D) Elevated blood glucose level
E) Increased blood pressure
Ans: C, D
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The nurse is conducting a general survey on an infant for a health maintenance visit. During the survey, the infant has a liquid stool
The mother becomes very angry and asks the nurse to change the diaper because she just can't "deal with the odor." Why is this mother's statement important to the nurse? 1. The child may have an illness that is causing diarrhea. 2. It may be a reflection of the mother-child relationship. 3. The mother may be feeding the child a poor diet. 4. The child may have an illness that is increasing the odor of stool.
A client consumed 30% of a bowl of broth. The bowl held 360 mL. How many mL of the broth did the client consume?
ANS:
Other forms of communication by the licensed practical nurse include:
1. charting on the nurse's notes. 2. reading the patient's chart. 3. taking notes during a staff meeting. 4. all of the above.
Which nursing intervention should the nurse use to enhance healing of a 1-week-old par-tial-thickness wound?
A. Removing necrotic tissue to stimulate the growth of granulation tissue B. Restricting the client's fluid intake to prevent the wound from becoming too wet C. Decreasing the amount of oxygen available to the wound to discourage bacterial growth D. Applying ice or cold compresses to the wound to reduce or prevent edema forma-tion