A nurse palpates a client's radial pulse, noting the rate, rhythm, and force, and concludes that the client's pulse is normal. Which of the following notations would the nurse make in the client's record to document the force of the client's pulse?
A. 4+
B. 3+
C. 2+
D. 1+
Ans: C. 2+
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The client has made a difficult decision to refuse treatment for a potentially curable malignancy. The nurse asks the client, "How are you going to tell your spouse about this decision?" What is the nurse attempting to assess?
1. Whether the client has considered all of the treatment options available. 2. Whether the client was able to choose freely among treatment options. 3. Whether the client is prepared to act on the decision. 4. Whether the client feels good about the decision made.
The nurse obtains initial vital signs on a patient 2 weeks posttransplant who presents for follow-up monitoring to the outpatient transplant clinic. Which assessment finding by the nurse requires immediate action?
a. Blood pressure of 100/60 mm Hg b. Serum creatinine of 1.5 mg/dL c. Hemoglobin of 9.2 gm/dL d. Tenderness over graft site
The skin over a Stage II pressure ulcer is
A. deeply eroded. B. blistered or superficially broken. C. blue in color. D. intact but discolored.
Which of the following is considered normal after the delivery of a newborn?
A) Acrocyanosis B) Methocyanosis C) Peripheral cyanosis D) Central cyanosis