The nurse observes that a client's skin is a ruddy color. Which condition should the nurse suspect?
A. Systemic Infection.
B. Rheumatic heart disease.
C. Polycythemia.
D. Coronary artery disease.
Answer: C
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What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?
a. Well-contracted with its upper border at or just below the umbilicus b. Well-contracted with its upper border three or four fingerbreadths above the umbilicus c. Relaxed with its upper border level with the umbilicus d. Relaxed with its upper border two or three fingerbreadths below the umbilicus
A male client has doubts about performing peritoneal dialysis at home. He informs the nurse about his existing upper respiratory infection
Which of the following suggestions can the nurse offer to the client while performing an at-home peritoneal dialysis? A) Perform deep-breathing exercises vigorously. B) Wear a mask when performing exchanges. C) Auscultate the lungs frequently. D) Avoid carrying heavy items.
What is the pathophysiologic basis for the acidosis associated with hypovolemic shock?
A. Poor respiratory effort secondary to skeletal muscle weakness caused by the hy-drogen ion excess B. Lactic acid production resulting from decreased oxygen delivery to the tissues and increased anaerobic metabolism C. Failure of the kidneys to excrete hydrogen ions and reabsorb bicarbonate ions as a result of renal hypertension D. Increased sensitivity of the central chemoreceptors, enhancing the rate and depth of ventilation
A client's family insists that the client live with one of the family members permanently because of a shuffling gait, but the client refuses. Which approach is most effective to provide a safe en-vironment while also acting as a client advocate?
a. Teach the client to wear shoes with thin, firm soles. b. Explain community services for older clients. c. Help the client check the fit of his sneak-ers. d. Tell the client that he can do whatever he wants.