The nurse conducts a focused assessment of a client's peripheral vascular system including which of the following? Standard Text: Select all that apply
1. Vital signs
2. Perfusion
3. Capillary refill time
4. Skin color of extremities
5. Skin turgor
1,2,3,4
Rationale: Assessment of the peripheral vascular system includes color, pulses, blood pressure, and capillary refill time, but does not normally include skin turgor, as this is a test for hydration.
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A 40-year-old who lives with parents and works at an unchallenging job says, "I'm as happy as anyone else, even though I don't socialize much outside of work
My work is routine, but when new things come up, my boss explains things a few times to make sure I catch on. At home, my parents make decisions for me, and I go along with their ideas." The nurse should identify interventions to improve this patient's: a. self-concept. b. overall happiness. c. appraisal of reality. d. control over behavior.
Which of the following best explains why most states have the legal drinking age set at 21 years old?
a. At 21 years of age, most Americans consider a person an adult. b. College is completed, and employment has begun by 21 years of age. c. Most 21-year-olds are self-supporting and no longer dependent on parents. d. The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.
Which of the following are possible indications of alcohol abuse? (Select all that apply.)
A) Drinking one alcoholic beverage daily over a prolonged period of time B) Frequent injuries or falls due to clumsiness C) Keeping to oneself and being irritable around others D) Experiencing blackouts E) Using alcohol to calm nerves or improve mood
Your client has recently lost her job and feels that she couldn't hold another job. What would be your nursing diagnosis?
1. Chronic low self-esteem 2. Risk for situational low self-esteem 3. Situational low self-esteem 4. Risk for chronic low self-esteem