To inspect the lateral borders of the tongue, you should:
a. ask the patient to extend the tongue out-ward.
b. insert the tongue blade obliquely against the tongue.
c. lift the tongue upward with gloved fin-gers.
d. pull the gauze-wrapped tongue to each side.
D
To inspect the lateral borders of the tongue, you should wrap the tongue with a piece of gauze and then pull the tongue to each side for inspection.
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The stage of family development that is considered to be the last stage of the life cycle is known as the:
a. expectant stage. b. senescence stage. c. establishment stage. d. disengagement stage.
The RN is documenting the patient's complaint of pain rated a 6 on a scale of 0 to 10 . Which of the following would be the most appropriate chart entry, if made by the nurse?
a. Pt. complaining of pain. MD notified. b. Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting." Pt. grimacing, voice elevated. MD notified. c. Pt. complaining of pain rated at 6 on a scale of 0-10 . Appears to be in pain. MD notified. d. Pt. complaining of pain rated 6 . Wants more pain medication; appears to be drug-seeking. MD notified.
Which blood electrolyte level is most important to monitor in the client who has hypertonic dehydration?
A. Sodium B. Potassium C. Calcium D. Magnesium
A nurse manages the care of a patient on rifampin for leprosy. The patient telephones, reporting, "My urine and saliva have looked an orange-red color for the past 2 days." The nurse's best response is which of the following?
1. "This is consistent with an allergic response, and the drug should be stopped." 2. "Continue the drug for another week to see if the coloration returns to normal." 3. "Stop the drug, as it is likely that hepatitis has developed." 4. "This is a normal effect of the drug and is harmless."