The nurse documents that a patient's chest is within normal limits. What does this statement mean?
a. The chest is deeper than it is wide.
b. The chest is equally wide and deep.
c. The chest is twice as wide as it is deep.
d. The chest is greater than 30 inches in diameter.
ANS: C
Normally the chest is about twice as wide (side to side) as it is deep (front to back). A. The chest is not normally deeper than it is wide. B. The chest that is equally wide and deep is in the shape of a barrel. D. A chest that is greater than 30 inches in diameter does not provide enough information about the overall shape of the chest.
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A postmenopausal client is experiencing low back and pelvic pain, fatigue, and bloody vaginal discharge. What laboratory tests would the nurse expect to see ordered for this client if endometrial cancer is suspected? (Select all that apply.)
a. Cancer antigen-125 (CA-125) b. White blood cell (WBC) count c. Hemoglobin and hematocrit (H&H) d. International normalized ratio (INR) e. Prothrombin time (PT)
The nurse providing care for a patient post PTCA knows to monitor the patient closely. For what complications should the nurse monitor the patient? Select all that apply
A) Abrupt closure of the coronary artery B) Venous insufficiency C) Bleeding at the insertion site D) Retroperitoneal bleeding E) Arterial occlusion
The following clients are seen in the emergency department. The psychiatric unit has one bed. The
advanced practice nurse acting as admitting officer should recommend for admission to the hospital the client who a. is experiencing dry mouth and tremor related to haloperidol and wants his dose of haloperidol reduced. b. is experiencing anxiety and a saddened mood after separation from her husband of 10 years. c. argued with her boyfriend and inflicted a superficial cut on her forearm with a knife. d. is a single parent and hears voices telling her to smother her infant son.
A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. The nurse should interpret this as:
a. Normal development. b. Significant developmental lag. c. Slightly delayed development caused by prematurity. d. Suggestive of a neurologic disorder such as cerebral palsy.