Known risk factors for lymphedema include all of the following except
A. Osteoarthritis
B. Rheumatoid arthritis
C. Obesity
D. Venous ulcer disease
A
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Which of the following would lead a community health nurse to suspect possible child neglect? Select all that apply
A) 15-year-old Lucy misses school once a week to watch her baby sister while her mother works B) Six-year-old Sam plays in the yard with a sweater on when it is 60 degrees outside C) Twins Bobby and Billy arrive at school in dirty and smelly clothing most school days D) 11-year-old Samantha comes to school without lunch or lunch money each day E) Nine-year-old Bobby misses school two or three times a month due to asthma attacks F) 14-year-old Jennifer watches her neighbor's 2-year-old every Saturday
A patient presents to the emergency department after falling from a ladder at home. He has multiple contusions and abrasion on his right side and is holding his right arm tightly across his chest. On inspection, the nurse notes that the patient's trachea is slight displaced toward the left. Which nursing intervention is priority?
1. Have the patient release his arm and sit up straight for reassessment. 2. Notify the emergency room physician immediately. 3. Auscultate the patient's lung fields. 4. Position the patient flat in bed without a pillow.
Which finding would suggest to the nurse that the patient has a good cardiac reserve?
1. The patient is able to tolerate a gradual increase of pace during a treadmill exam. 2. The patient breathes in through the nose and out through the mouth when sitting quietly. 3. After cardiac rehabilitation exercises the patient sits in a chair to cool down. 4. The patient complains of pain in the legs after walking 100 yards.
A nurse documents the following on a client chart: "client manifests difficulties with spatial orientation, memory language, and changes in personality." What state of arousal/awareness does this describe?
A) Delirium B) Dementia C) Confusion D) Locked-in syndrome