During a home visit the nurse observes that an adolescent in the family is demonstrating responsibility for her own behavior. What did the nurse observe this adolescent perform? (Select all that apply.)
A) Washing hands after using the bathroom
B) Completion of chores before going out with friends
C) Planning to go to see a concert with friends over the weekend
D) Refusing the need for extra money since allowance money not yet spent
E) Overheard telling a friend that homework needed to be done before watching television
Ans: A, B, D, E
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An older man who has HF complains of increasing dyspnea over 2 days. Which of the following should the nurse assess to help determine whether the patient has adhered to his therapy? (Select all that apply.)
a. Check for peripheral edema. b. Ask about his bowel pattern. c. Auscultate the lungs bilaterally. d. Compare his weight to baseline. e. Determine coughing frequency. f. Assess his diet over last 48 hours.
Postoperative nursing measures to prevent the development of deep vein thrombosis, thrombophlebitis, and pulmonary embolism include which of the following?
a. using an alternating pressure pad on the bed b. administering antibiotics every 12 hours as ordered c. massaging the calves of the legs for complaints of "cramping" d. performing postoperative leg exercises each hour
Upon inspection, the nurse notes that Mr. Green has a barrel chest. What is the normal anteroposterior (AP)-to-lateral chest ratio?
A) 1:1 B) 1:2 C) 1:3 D) 1:4
The function of the blood is to
A) carry oxygen to the lungs. B) carry waste away from the cells. C) carry oxygen to the cells. D) all of the above