The nurse is assessing a patient who is new to the unit. During inspection of the patient, what will the nurse do?
A) Tell the patient that modesty is not necessary
B) Make sure that the patient is covered
C) Look for internal abnormalities
D) Smell for odors
D
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The nurse instructs the unlicensed assistive personnel to feed an older adult. If the nurse is unable to observe feeding directly, then which action should the nurse use to assess the older adult's risk for aspiration immediately after feeding?
a. Note food volume eaten. c. Inspect for pocket-ing. b. Observe skin color. d. Monitor for bra-dypnea.
A patient is exhibiting dyspnea, orthopnea, cyanosis, clammy skin, crackles, and a productive cough with pink, frothy sputum. Which health problem should the nurse suspect is occurring in this patient?
1. chronic heart failure 2. pulmonary edema 3. endocarditis 4. angina
Fetal weight increases most during the:
a. First 2 weeks b. First trimester c. Second trimester d. Third trimester
Based on the information provided, which client should the nurse see first?
A. Infant respirations 38/min B. 2-year-old pulse 112/min C. 6-year-old axillary temperature 97.5°F D. 10-year-old blood pressure 138/88