A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment?
A. A client admitted with pneumonia with a fever of 100° F and some diaphoresis
B. A client with congestive heart failure with clear lung sounds on the previous shift
C. A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema
D. A client undergoing long-term corticosteroid therapy with mild bruising on the anterior surfaces of the arms
Ans: C. A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema
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A nurse educator is teaching a group of nurses at a long-term care facility about atrial fibrillation in light of its prevalence in older adults. Which of the following statements by the nurses would the educator most want to correct?
A) "The electrical impulses go in chaotic directions, and so the atria can't contract properly." B) "An ECG of someone in atrial fibrillation would be almost random in appearance." C) "The contraction of the ventricles and the atria can range from 400 to 600 beats/minute." D) "It can be hard to measure at the bedside because not all ventricular beats make a palpable pulse."
How does closed-angle glaucoma differ from open-angle glaucoma?
a. The onset is acute. b. Trabeculectomy is the initial treatment. c. Treatment can be conservative. d. Intraocular pressure drops suddenly.
The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache
After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next? a. Administer the acetaminophen. b. Notify the health care provider to obtain a verbal order. c. Direct the nursing assistive personnel to give the acetaminophen. d. Perform a pain assessment only after administering the acetaminophen.
After an? assessment, the nurse suspects that a client is experiencing signs of type 2 diabetes mellitus. What did the nurse assess in this? client? Standard Text: Select all that apply.
1. Excessive urination
2. Excessive thirst
3. Blurred vision
4. Tingling of the fingers and toes
5. Itchy skin rash