A nurse is preparing to measure a client's calf circumference. The nurse performs this procedure by:
A. Placing a tape measure around the widest point of the lower leg
B. Measuring 2 inches above the knee and placing the tape measure around the client's leg at this point
C. Measuring 2 inches above the ankle and placing the tape measure around the client's leg at this point
D. Measuring 2 inches below the patella and placing the tape measure around the client's leg at this point
Ans: A. Placing a tape measure around the widest point of the lower leg
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Which of the following laboratory tests relates most directly with the impaired drug elimination that is expected in neonates?
A) C-reactive protein level B) Creatine kinase C) Serum albumin level D) Glomerular filtration rate
The nurse is delivering ventilations using a bag-valve-mask while another nurse delivers chest compressions at a ratio of how many breaths to compressions?
1. 1 ventilation to 5 compressions 2. 1 ventilation to 30 compressions 3. 2 ventilations to 15 compressions 4. 2 ventilations to 30 compressions
A client with heart failure informs the nurse he has not had a bowel movement in 2 days. Why would it be important for the nurse to obtain an order for a stool softener?
A) Straining causes the Valsalva maneuver, which can cause dangerous effects. B) The client should not develop hemorrhoids. C) The client can develop a rectal fissure, which will increase pain levels. D) The client should have a bowel movement every day to avoid development of an intestinal obstruction.
The patient receives captopril (Capoten) as treatment for heart failure. Which adverse effect will the nurse plan to report to the physician?
1. The patient develops a cough. 2. The patient develops diarrhea. 3. The patient develops dehydration. 4. The patient develops facial flushing.