The nurse reviewing the client's medical record notes an elevation in the erythrocyte sedimentation rate (ESR). The client has been reporting nausea, back pain, and extreme fatigue
The nurse puts all of this together and suspects the client is experiencing: 1. Gastritis.
2. Peripheral vascular disease.
3. Congestive heart failure.
4. Myocardial infarction.
4
Rationale: An elevated sedimentation rate indicates inflammation somewhere in the body—in this case, combined with the symptoms the client is reporting, in the coronary arteries.
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Because the patients are attending role modification classes, the nurse assesses this family as being at the developmental stage of:
1. beginning families. 2. families with young children. 3. families with adolescents. 4. families in later life.
Which form has the person's identifying information?
a. Admission record b. Progress notes c. Activities-of-daily-living flow sheet d. Kardex
A cooperative, well-dressed, postoperative client that grimaces when sitting down rates their pain 2 out of 10. The nurse suspects which of the following?
A. The client that does not identify pain as severe does not require treatment. B. The client's recovery is going well based on the pain rating. C. The client should increase their activity to build up tolerance. D. The client has adapted to the pain and is able to control behaviors.
The nurse is teaching the parents of a healthy newborn about infant safety. Which of the following should be included in the teaching plan?
a. Water temperature for the infant's bath should be 39°C. b. Crib slates should be a maximum of 3 inches apart. c. Cover electrical outlets once the infant is crawling. d. Remove strings from infant sleepwear.