The nurse is assisting a client to the bathroom when the client begins to have a tonic-clonic seizure. Which is the first thing that the nurse should do at this time?
A. Assist the client back to bed.
B. Take the client's vital signs.
C. Time the seizure.
D. Remove the client's clothing.
Answer: C
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The nurse is assessing the skin of a patient who has acquired immunodeficiency syndrome (AIDS) and notices multiple patchlike lesions on the temple and beard area that are faint pink in color. The nurse recognizes these lesions as:
a. Measles (rubeola). b. Kaposi's sarcoma. c. Angiomas. d. Herpes zoster.
Which manifestations should the nurse investigate as possibly being caused by peptic ulcer disease in an older client? Select all that apply.
1. Diarrhea 2. Clay-colored stools 3. Abdominal distention 4. Indigestion with bloating 5. Vague and diffuse abdominal pain
The nurse is assisting with a physical examination on a child who has been admitted with a diagnosis of possible child abuse
Which finding should alert the nurse to the possibility that the child may have been abused? A) The child has a fractured bone B) The child has bruises on the knees and elbows C) The child is hyperactive and angry D) The child has a burn that has not been treated
A child has chronic hepatitis and the healthcare professional wants to assess the child for portal hypertension. What action by the professional is most appropriate?
a. Listen to the child’s lung sounds b. Assess for pedal edema c. Palpate the child’s abdomen d. Inspect the skin for jaundice