A patient has a venous ulcer. You are helping the person dress. The person can wear which of the following?
a. Spandex pants
b. Elastic garters to hold socks in place
c. Tight socks
d. A sweatshirt
D
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A student nurse caring for a depressed client reads in the client's medical record: "This client clearly
shows the vegetative signs of depression.". The nursing diagnoses that most clearly relate to the vegetative signs include (more than one answer may be correct) A. imbalanced nutrition: less than body requirements. B. chronic low self-esteem. C. disturbed sleep pattern. D. sexual dysfunction. E. self-care deficit. F. constipation.
The nurse is caring for a 72-year-old one-day postoperative colectomy client. The nurse assesses an increased work of breathing, diminished breath sounds at the bases with fine inspiratory crackles, respirations 12 and shallow, and pulse oximetry 96% on 2 L oxygen. There is no jugular venous distension or peripheral edema. Pain is regulated with client-controlled morphine. What is the most appropriate prescription for the nurse to carry out?
a. Bolus dose of intravenous (IV) morphine b. Incentive spirometer c. IV furosemide d. Non-rebreather mask
A group of students is reviewing for a quiz on verbal and nonverbal communication. The students demonstrate a need for additional studying when they identify which of the following as an example of nonverbal communication?
A) Attitude B) Silence C) Laundry list D) Facial expression
The nurse is caring for a patient who reports feeling constipated, yet passes frequent small liquid stools. Which action should the nurse take?
a. Check the patient for a fecal impaction. b. Administer an antidiarrheal medication. c. Explain that liquid stools indicate diarrhea. d. Check the abdomen for rebound tenderness.