When documenting the findings from a physical examination of the head and neck, what will the nurse include when describing the patient's head?
A) Eye color
B) Hair color
C) Hearing
D) Complexion
B
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Which level of prevention as defined by Leavell and Clark most closely reflects health promotion?
1. Primary 2. Secondary 3. Tertiary 4. None of the levels is related to health promotion
The nurse establishes the client's nursing diagnosis as Sensory perceptual alterations. Which does the nurse include in client teaching to improve home safety for the client?
1. Light all living areas. 2. Clean the cook top well. 3. Post emergency numbers. 4. Use a sturdy shower chair.
A nurse assessing a client for edema documents +4 pitting edema. What condition is commonly noted along with +4 pitting edema?
A) Sacral edema B) Dependent edema C) Anasarca D) Pulmonary edema
An adolescent presents in the emergency department (ED) with confusion. The healthcare provider suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 7l5 mg/dL. Which clinical manifestations does the nurse anticipate upon assessment for this client?
1. Tachycardia, dehydration, and abdominal pain 2. Sweating, photophobia, and tremors 3. Dry mucous membranes, blurred vision, and weakness 4. Dry skin, shallow rapid breathing, and dehydration