The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select all that apply.)
a. Edema
b. Pulselessness
c. Pallor
d. Redness
e. Warmth
ANS: A, D, E
The five cardinal signs of inflammation include redness, warmth, pain, swelling, and decreased function.
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The nurse expects worsening cerebral edema to occur for ____________ hours after the primary injury
1. 24 2. 36 3. 48 4. 72
Which comment(s) by an elderly person best indicate successful completion of developmental tasks? Select all that apply
a. "I am proud of my children's successes in life." b. "I should have given to charities more often." c. "My relationship with my father made life more difficult for me." d. "My experiences in the war helped me appreciate the meaning of life." e. "I often wonder what would have happened if I had chosen a different career."
The nurse is assessing a patient who is intubated and on a ventilator. When listening above the sternal notch with a stethoscope, the nurse notes a minimal amount of air leak at the end of inspiration. Which action by the nurse is appropriate?
a. Remove all air from the cuff and reinflate the cuff until no air leak is present. b. Note that the cuff is properly inflated. c. Notify the health care provider. d. Suction the patient.
Breathing is partially under voluntary control.
Answer the following statement true (T) or false (F)