How far should you walk a person?
a. As far as the person can tolerate
b. As far as directed by the nurse and the care plan
c. Down the hall and back to the room
d. As far as the person chooses
B
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The nurse is assisting a patient to a sitting position when the patient suddenly complains of feeling that his surgical incision has separated. What does the nurse recognize that this indicates?
a. Cellulitis b. Dehiscence c. Evisceration d. Extravasation
The nurse understands the primary diagnostic characteristic of pertussis as being which finding?
1. Raised red rash 2. A whoop sound on inspiration 3. Gagging and vomiting 4. Tightening of the jaw muscles
Which nursing diagnosis is more applicable to a patient with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient with bulimia nervosa who purges?
a. Powerlessness b. Ineffective coping c. Disturbed body image d. Imbalanced nutrition: less than body requirements
The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)
a. Straw color b. Foul odor c. Trace glucose d. pH of 8.2 e. Specific gravity of 1.014