A nurse is assessing a client with Raynaud phenomenon. What sign and symptom are
observed in clients with Raynaud phenomenon?
A) Fingertips develop cyanosis and gangrene
B) Skin looks loose and dull
C) Appearance of dark, tortuous superficial veins
D) Cramps in the calf muscles
A
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The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age. He appears significantly younger than his stated age and is chubby with infantile facial features. Which condition does this child have?
a. Hypopituitary dwarfism b. Achondroplastic dwarfism c. Marfan syndrome d. Acromegaly
The nurse is obtaining physician orders which include a pulse pressure. The nurse is most correct to report which of the following?
A) The difference between an apical and radial pulse B) The difference between an upper extremity and lower extremity blood pressure C) The difference between the systolic and diastolic pressure D) The difference between the arterial and venous blood pressure
The nurse is obtaining a thermodilution cardiac output measurement from a pulmonary artery catheter (PAC). Which techniques should the nurse use? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Keep the injectate at least 10°F below room temperature. 2. Inject the injectate over 30–45 seconds. 3. Inject the injectate smoothly. 4. Inject the standard amount of injectate for the brand of catheter. 5. Perform three measurements 1 to 2 minutes apart.
A forensic nurse implements a program aimed at preventing domestic abuse. Which of the fol-lowing levels of prevention is being used?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment