The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing. Which of these is an example of a symptom?
a. Chest pain
b. Clammy skin
c. Serum potassium level at 4.2 mEq/L
d. Body temperature of 100 ° F
ANS: A
A symptom is a subjective sensation (e.g., chest pain) that a person feels from a disorder. A sign is an objective abnormality that the examiner can detect on physical examination or in laboratory reports, as illustrated by the other responses.
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A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child?
A. Calcium gluconate B. Dextrose and insulin C. Emergent dialysis D. Kayexalate (sodium polystyrene) enema
The nurse is reviewing the results of serum laboratory tests conducted on a client. Which of the following results should be reported?
1. Calcium 8.5 mg/dL 2. Potassium 6.1 mEq/L 3. Serum creatinine 1.4 mg/dL 4. Sodium 144 mEq/L
Which information should the nurse include in the teaching for a client prescribed a progestin only oral contraceptive?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Progestin oral contraceptives have a higher failure rate." B. "Progestin oral contraceptives inhibit plantation of a fertilized egg." C. "Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the uterus." D. "You have an increased risk of a thromboembolism." E. "You may notice your menstrual cycle will be more regular."
A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?
a. Opioids as needed b. Opioids on a regular schedule c. Distraction and relaxation techniques d. Nonsteroidal anti-inflammatory drugs