Inspection of the distal nails and nail beds should be evaluated for signs of decreased perfusion. Signs include
A. Clubbing
B. Cyanosis
C. Petechiae
D. All of the above
D
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Which characteristic of the prostate gland would the nurse recognize as an abnormal finding while palpating the prostate gland through the rectum?
a. Palpable central groove b. Tenderness to palpation c. Heart shaped d. Elastic and rubbery consistency
When are labor clients urged to bear down?
a. between each contraction as soon as the cervix is completely effaced b. between each contraction as soon as the membranes have ruptured c. with each contraction as soon as engagement has occurred d. with each contraction as soon as the cervix is completely dilated
The case manager providing crisis stabilization for a client with severe mental illness who states his
wallet was stolen and who is left without means of paying the rent will use several principles. Put the interventions in the order in which they should be implemented. A. Actively engage in problem solving to find new resources, as needed B. Determine availability of additional social support C. Clarify the reality of the situation D. Identify realistic goals
A nurse identifies a nursing diagnosis of impaired urinary elimination related to urinary tract infection. When developing the plan of care, which of the following would be most important for the nurse to do first?
A) Develop a schedule for bladder emptying B) Encourage fluid intake C) Assess usual voiding patterns D) Monitor intake and output