Which cluster of assessment findings would the nurse expect to find in association with acute bacterial sinusitis?
1) Inflamed nasal mucosa; yellow drainage on posterior pharynx; perforated septum
2) Yellow drainage on the posterior pharynx; pale and boggy nasal mucosa; fever
3) Pale, boggy nasal mucosa; fever; perforated septum
4) Inflamed nasal mucosa; yellow drainage on the posterior pharynx; fever
ANS: 4
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The nurse is reviewing a client's care plan. Appropriate nursing interventions for a client with electrolyte imbalance due to prerenal failure include:(Select all that apply) Standard Text: Select all that apply
1. Weekly weights 2. Recording intake and output 3. Offering several small meals of sodium-enhances, low protein diet 4. Reorient client as needed 5. Provide emotional support
You are caring for a 35-year-old man whose severe workplace injuries necessitate bilateral below-the-knee amputations. How can you anticipate that the patient will respond to this news?
A) The patient will go through the stages of grief over the next week to 10 days. B) The patient will progress sequentially through five stages of the grief process. C) The patient will require psychotherapy to process his grief. D) The patient will experience grief in an individualized manner.
A client involved in a motor vehicle accident is rushed to the healthcare facility in an unconscious state. The nurse frequently changes the client's position. What are the purposes for the frequent position changes?
1 . Promote comfort 2 . Prevent skin breakdown 3 . Ease breathing 4 . Kept client clean and dry A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
Items that should be calculated as fluid intake include water, coffee, and gelatin
True False