The nurse realizes a client is demonstrating signs of the local adaptation syndrome. The nurse most likely assessed which of the following in the client?
a. Increased pulse rate
b. Diaphoresis
c. Increased metabolism
d. Inflammation at the injured site
ANS: D
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An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: white blood cell count: 8900/mm3, red blood cell count: 3.2/mm3, hemoglobin: 9 g/dL, hematocrit: 32%
What intervention by the nurse is most appropriate? a. Instruct the client to avoid large crowds. b. Prepare to administer epoetin alfa (Epogen). c. Teach the client about foods high in iron. d. Tell the client that all laboratory results are normal.
A nurse has brought a newborn to his mother's room. What action by the nurse takes priority?
A. Asking the mother her full name and her birth date B. Comparing the baby to a photograph on the mother's bedside table C. Having the mother wash her hands before taking the baby D. Matching the information on the mother's and baby's wristbands
Hope has to do a neurologic check on her client with a subarachnoid hematoma. She was told in shift report the client has a neurologic deficit
a. What are the three phases of a neurologic deficit? b. Give examples of each phase. c. How they are treated medically?
A patient is prescribed 50 mg of amphotericin B (Fungizone) by intravenous infusion in 500 mL of dextrose 5% in water (D5W) over 6 hours. How many milliliters per minute does the nurse set the pump to infuse?
a. 1.4 b. 2.2 c. 4.2 d. 6.2