The nurse is monitoring a client who has leukemia. When performing a physical assessment, what condition would the nurse document as a sign of abnormal bleeding?
A) Headaches
B) Petechiae
C) Cyanosis
D) Jaundice
B
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The nurse should carefully observe and monitor the client with a disorder of the blood or lymph, and examine the client's skin for petechiae, bruises, or other evidence of abnormal bleeding. The nurse should also obtain a thorough nursing history that includes the client's nutritional status, dyspnea, elimination difficulties, difficulty in walking or moving, and pain. Signs and symptoms in these areas may indicate a blood or lymph disorder.
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When preparing to assess a client's blood pressure, the nurse observes for indications to using the client's thigh for and standard stethoscope, such as:(Select all that apply) Standard Text: Select all that apply
1. Unilateral mastectomy 2. Intravenous infusions in both arms 3. Burns on upper body, including shoulders or hands 4. Bilateral mastectomy 5. Arteriovenous fistula
The rationale for giving the patient additional fluids after a cardiac catheterization is that
a. fluids help keep the femoral vein from clotting at the puncture site. b. the patient had a nothing-by-mouth order before the procedure. c. the radiopaque contrast acts as an osmotic diuretic. d. fluids increase cardiac output.
The nurse who is operating with the ethics of care in mind believes which statement?
1. "We should always tell the truth." 2. "We are expected to always do the right thing." 3. "We should do whatever provides the best benefit." 4. "We are all interconnected and part of the same global family."
Physical demands of many nursing jobs include all of the following EXCEPT
A. Sitting for long hours B. Stooping and bending C. Being manually dexterous D. Heavy lifting