The nurse is assessing a patient's vital signs. What should the nurse include in this assessment?
A. Pain level
B. Ability to ambulate
C. Urine output
D. Peripheral pulses
Answer: A
You might also like to view...
The nurse assesses respirations of a patient demonstrating pursed-lip breathing, flared nostrils, and retractions. How will the nurse describe these respirations?
a. Tachypnea b. Stertorous c. Dyspnea d. Cheyne-Stokes
A patient who has been taking phenobarbital for epilepsy begins taking valproic acid [Depakote] as adjunct therapy. The nurse notes that the patient is very drowsy. What will the nurse do?
a. Explain to the patient that tolerance to se-dation eventually will develop. b. Notify the prescriber, and request an order to reduce the dose of phenobarbital. c. Notify the prescriber of the need to in-crease the dose of valproic acid. d. Request an order for liver function tests to monitor for hepatotoxicity.
The nurse is teaching the family of a client diagnosed with dementia about the disease process. Which of the following teaching points accurately describe this mental alteration?
A) Dementia is a normal part of aging. B) Dementia is not any specific disease or disorder. C) Dementia does not cause personality changes. D) Dementia does not affect level of consciousness.
Patients with severe hearing loss may also have associated:
A) Dysarthria B) Voice production disorder C) Language disorder D) Fluency problems