The nurse notes that an older adult client has developed generalized xerosis. The nurse shows an understanding that this may be a symptom related to a systemic health problem when: Select all that apply
a. reviewing the client's history for a diagnosis of chronic renal failure
b. monitoring the client's heart rate by taking an apical pulse
c. assessing the client for symptoms of an under active thyroid gland
d. placing the client on daily intake and output recordings
e. performing a finger stick to assess the client's glucose level
ANS: A, C, D
Dry skin may be just dry skin, but it may also be a symptom of more serious systemic dis-ease (e.g., diabetes mellitus, hypothyroidism, renal disease) or dehydration. There is no cur-rent research to connect dry skin to impaired cardiac function.
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Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.)
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The risk manager is reviewing these events that occurred over the weekend. Which scenario should the risk manager be most concerned would represent malpractice?
1. The nurse did not obtain an apical pulse on a patient prior to administering Digoxin 0.25 mg orally. 2. The nurse did not raise the bed when changing the linens for a patient who was up in the chair. 3. A nurse did not obtain consent before drawing blood. 4. The nurse continued to assess the diabetic patient's blood sugar before each meal.
A family is highly verbal. They openly tell each other what they are thinking and feeling. They are noted to ask directly for what they want and to tell each other what displeases them. A nurse listening to their interchanges would assess them as using
A. generalizing communication. B. double-bind communication. C. disengaged communication. D. healthy communication.