For which person is a comprehensive assessment indicated?
a. The person who had abdominal surgery yesterday
b. The person who is unaware of his high serum glucose levels
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation after a knee replacement
ANS: C
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The nurse is caring for an eight-year-old child who has been in a car accident, has a head injury, and is in the ICU. The nurse sees the child pulling on the IV line. What action should the nurse take?
1. Sedate the child as needed. 2. Place soft wrist restraints on the child. 3. Ask the parents to watch the child closely at all times. 4. Tell the child not to pull on the IV line.
A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?
a. A 26-year-old woman who is 8 months pregnant b. A 42-year-old man with gastroesophageal reflux disease c. A 55-year-old woman who is 50 pounds overweight d. A 73-year-old man with type 2 diabetes mellitus
Which of the following conditions increase the risk for developing RDS?
I. Maternal diabetes II. Cesarean delivery III. Multiple births IV. Premature rupture of membranes
A patient tells the nurse that even though at times he experiences a stomachache, after a few hours, the ache is gone and he feels fine. Which of the following might explain what the patient is describing to the nurse?
1. the duodenal pH of 4.0 killed the offending organism 2. the offending organism is killed by the acidic stomach environment 3. lack of mucous in the duodenum propelled the organism through the system 4. the offending organism is blocked by chyme