The nurse is performing a nutrition assessment on the client. Which information should the nurse document as laboratory data?
a. "Leukocytosis."
b. "Client using St. John's worst daily."
c. "Dental caries and poor oral health noted."
d. "Client lost 20 pounds during last 2 months."
a. "Leukocytosis."
Increased white blood cell count would be documented as a laboratory result. Weight loss would most likely be discovered when assessing the weight history during a nutritional screening, nutrition history, or during a physical assessment. Dental caries and poor oral health would be found during a physical assessment. Dietary supplement use would be discovered during the nutrition history.
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A mother calls the triage nurse because her son continues to have enuresis at the age of 7. The best response by the nurse is:
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The nurse is caring for a woman who informs the nurse that she needs assistance to remove and clean her glass eye. What actions by the nurse are most appropriate to accomplish the task?
A) Apply pressure over the eye with your index finger and thumb under the eye B) Pull up the upper lid and place your index finger under the glass edge C) Pull the inner canthus toward the bridge of the nose and lift under the glass D) Pull down on the lower lid and exert slight pressure below the lid
The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. The priority nursing goal is to:
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