The nurse plans to maintain hydration for the patient at risk for thrombus formation. What evaluation finding is an indicator that the intervention is successful?
a. The patient denies pain in the lower legs.
b. The patient denies chest pain or difficulty breathing
c. Urine output exceeds 1,500 mL per 24-hour period.
d. There is a weight gain of 5 pounds within 24 hours.
ANS: C
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The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray
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Which series of symptoms represents the MOST common sequence of withdrawal from alcohol if left untreated?
a. tremulousness, acute hallucinations, and delirium tremens b. delirium tremens, acute hallucinations, and tremulousness c. tremulousness, delirium tremens, and acute hallucinations d. acute hallucinations, delirium tremens, and tremulousness
Which technique would the nurse use to perform scoliosis screening in a school-age child?
A) Have the child bend forward at the waist. B) Measure the length of each leg. C) Measure the distance between the knees and the ankles. D) Ask the child to walk across the room.
A nurse suspects appendicitis in a patient with abdominal pain. Which findings are suggestive of appendicitis? Select all that apply
a. Pain radiating to the right shoulder b. Pain around the umbilicus c. Pain relieved by lying still d. Right lower quadrant pain e. Increased peristalsis