When a client has designated someone else to make health care decisions when he or she is unable to do so, the client is using
a. An advance directive
b. A living will
c. A durable medical power of attorney
d. The Patient Self-Determination Act
ANS: C
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If the nurse suspects a uterine infection in a postpartum client, she should assess the:
a. pulse and blood pressure. b. odor of the lochia. c. episiotomy site. d. abdomen for distention.
A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?
A) Transillumination of the scrotum B) Palpate for presence of testicle C) Examine for soft tissue swelling D) Assess for collect-on of blood in the scrotum
A postpartum woman is diagnosed with metritis. The nurse interprets this as an infection involving which of the following? (Select all that apply.)
A) Endometrium B) Decidua C) Myometrium D) Broad ligament E) Ovaries F) Fallopian tubes
Self-care measures the nurse or speech therapist should teach the client who has residual dysphagia after a stroke include (Select all that apply)
a. chewing each bite thoroughly. b. placing foods in the unaffected side of the mouth. c. sticking to only semi-liquids and very soft foods. d. turning the head to the unaffected side and checking for retained food.