A healthcare professional is caring for four patients. Which patient does the professional assess for pulmonary emboli (PE) as the priority?
a. Deep venous thrombosis
b. Endocarditis
c. Valvular disease
d. Left heart failure
Answer: a. Deep venous thrombosis
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A patient states, "Whenever I open my mouth real wide, I feel this popping sensation in front of my ears." To further examine this, the nurse would:
a. Place the stethoscope over the temporomandibular joint, and listen for bruits. b. Place the hands over his ears, and ask him to open his mouth "really wide." c. Place one hand on his forehead and the other on his jaw, and ask him to try to open his mouth. d. Place a finger on his temporomandibular joint, and ask him to open and close his mouth.
A nurse compares normal to abnormal vascular findings during a skin assessment. Which of the following are considered normal vascular findings? Select all that apply
A) Purpura B) Cherry angioma C) Spider angioma D) Nevus flammeus E) Urticaria F) Capillary hemangioma
The nurse is assessing a patient. Which assessment would cue the nurse to the potential of acute respiratory distress syndrome (ARDS)?
a. Increased oxygen saturation via pulse oximetry b. Increased peak inspiratory pressure on the ventilator c. Normal chest radiograph with enlarged cardiac structures d. PaO2/FiO2 ratio > 300
A nurse has had the opportunity to engage with a client who has HIV/AIDS over the period of several months and has established a strong therapeutic relationship with the client
In recent conversations, the client has spoken fondly about what he perceives to be the best times in his life to this point. As well, he has alluded to the positive impact that he has been able to have on peers and family members. What process is this client most clearly displaying? A) Reminiscence B) Life review C) Cognitive evaluation D) Denial of the severity of his illness