The nurse has gathered her assessment data and notes several significant changes in the client's health status. The client's weight has increased by 5 lb over the past 24 hours, he is short of breath, and crackles are auscultated at both lung bases
To which step of the Nursing Process should the nurse proceed after organizing these data?
a. Diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: A
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A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to:
a. Speak loudly so the patient can hear the questions. b. Assess for middle ear infection as a possible cause. c. Ask the patient what medications he is currently taking. d. Look for the source of the obstruction in the external ear.
A hurricane "warning" is issued when there is a threat of hurricane conditions within 24 to 36 hours
Indicate whether the statement is true or false
The following clients are in need of exercise electrocardiography. Which client would the nurse indicate as most appropriate for a drug-induced stress test?
A) A 48-year-old policemen with history of knee replacement 4 years ago B) A 68-year-old housewife with history of osteoporosis C) A 72-year-old retired janitor obtaining a cardiac baseline D) A 55-year-old recovering from a fall and broken femur
Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
a. cutaneous tags from lentigines. b. furuncles from folliculitis. c. sebaceous hyperplasia from eczema. d. seborrheic keratoses from actinic keratos-es.