The nurse is performing a circulatory system assessment with a client. Which finding suggests that the client has a total arterial occlusion?
1. The extremity has full and bounding pulses.
2. The client complained of itchy skin.
3. The extremity suddenly became white, cold, and painful.
4. The client experiences transient loss of sensation in an extremity.
Answer: 3
1. This indicates adequate blood flow.
2. This is not a finding associated with an arterial occlusion.
3. The sudden onset of symptoms with coldness, pallor, and pain suggests an arterial thrombus or emboli.
4. This could be from impairment in neurovascular function.
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A) Hydrochloric acid is secreted by glands in the stomach in response to the presence or anticipated ingestion of food. B) As the stomach digests food it turns part of the digested food into acid. C) Our body makes hydrochloric acid for the digestion of the food we eat. D) Acid is secreted by cells in the first part of the small intestine, and when we eat, the acid flows into the stomach.
When doing a health assessment, at which of the following locations would you expect to palpate the fundus in a woman on the second postpartal day and how should it feel?
A) Fundus height 4 cm below umbilicus and midline B) Fundus two fingerbreadths above symphysis pubis and hard C) Fundus 4 cm above symphysis pubis and firm D) Fundus two fingerbreadths below umbilicus and firm
Order: Itraconazole (Sporanox) 4 mg/kg/d divided in equal dosages q.8h. The multi-dose vial label reads "10 mg/mL." How many milliliters will you administer to a client who weighs 85 kg?
1. 4.25 mL 2. 11.3 mL 3. 3.4 mL 4. 212.5 mL
The nurse understands that the proper solution for administration of amphotericin B (Fungizone) is:
a. normal saline. c. Ringer's lactate. b. dextrose 5% in water. d. any sterile IV solution.