The LPN/LVN is performing a focused assessment on the client with a draining wound. Information that will be collected includes: Standard Text: Select all that apply
1. Skin integrity.
2. Odor noted.
3. Vital signs.
4. Intake and output.
5. Symmetry of chest movements.
1,2,3,4
Rationale: The progress of wound healing, or lack thereof, is information that needs to be obtained and documented.
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Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of hoarseness that has developed over the last few months. It is important to exclude the possibility of:
A. Thrush B. Laryngeal cancer C. Carotidynia D. Thyroiditis
The nurse is planning care for an older patient with hypertension who recently fell in the home. Which assessment would the nurse plan for this patient?
1. Check serum sodium levels. 2. Check serum creatinine levels. 3. Check postural blood pressures. 4. Check blood pressure every 2 hours.
During a vaginal exam, the nurse notes that the cervix has a bluish color. The nurse documents this finding as:
A) Hegar's sign B) Goodell's sign C) Chadwick's sign D) Ortolani's sign
Calcium is essential for which of the following functions? (Select all that apply.)
1. Blood clotting 2. Neurotransmission 3. Formation of sweat 4. Muscle contraction