A client's rash measures 5 cm à— 4 cm
How much does this measure in inches? _____ in
ANS: 2 × 1.6
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The nurse is assessing a patient who was recently administered procaine for local anesthesia. Which of the following assessment findings would suggest the possibility of adverse effects?
A) Increased temperature B) Increased heart rate C) Decreased blood pressure D) Lethargy
The nurse is assessing for hepatojugular reflux in a patient with a history of heart failure. When performing this assessment, the nurse will:
A) Elevate the patient's head to 90 degrees B) Press the patient's right upper abdomen C) Palpate the patient's jugular veins simultaneously D) Lay the patient flat in bed
The nurse is providing psychosocial support to a 5-year-old child with a severe visual impairment. Which behavior would the nurse be least likely to find?
A) Immature emotional behavior B) Self-stimulatory actions C) Inattention and vacant stare D) Head tilt or forward thrust
For the client with severe acetaminophen toxicity, the nurse should be prepared to administer:
a. N-acetylcysteine (Mucomyst). b. naltrexone (Trexan). c. caffeine. d. magnesium hydroxide (Milk of Magnesia).