When describing the major arteries of the arms and legs, which of the following would the instructor identify as the major supplier of blood to the arms?
A) Radial artery
B) Brachial artery
C) Femoral artery
D) Ulnar artery
B
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The nurse is caring for a client with a newly created ostomy. After changing the ostomy appliance, which items will the nurse include when documenting the procedure? Select all that apply
1. How the drainage was disposed 2. Quantity of drainage recorded on output record 3. Any client participation in the procedure 4. Assessment of stoma and skin around the stoma 5. The odor of the drainage
The nurse is caring for a client who is intubated following trauma to the chest. Which of the following nursing measures would the nurse perform while the client is intubated?
A) Provide oral care every 4 hours. B) Monitor placement of the endotracheal tube. C) Keep the client lying flat to prevent tube slippage. D) Perform chest compressions every 5 minutes.
An emergency code was called after a patient pulled a knife from a pocket and threatened, "I will kill anyone who tries to get near me." The patient was safely disarmed and placed in seclusion. Justification for use of seclusion was that the patient:
a. was threatening to others. b. was experiencing psychosis. c. presented an undeniable escape risk. d. presented a clear and present danger to others.
In assessing a neonate, the nurse notices that one testicle has not descended into the scrotal sac. What is the most appropriate response for the nurse as a result of this finding?
a. Documenting the findings and referring this neonate for further examination for an undescended testicle b. Placing a finger over the upper inguinal ring and gently pushing downward to try to push the testicles into the scrotum c. Using a light source to transilluminate the affected scrotal sack to determine if fluid is preventing the descent of the testicle d. Inserting the fifth finger into the inguinal ring to palpate for a hernia that may have prevented the testicle from descending