The client experienced a sports-related injury to his leg. During the morning assessment, what signs of inflammation will the nurse most likely assess?
1. Swelling
2. Pain
3. Warmth
4. Pallor
5. Pitting edema
Correct Answer: 1,2,3
Rationale 1: Swelling is a sign of inflammation.
Rationale 2: Pain is a sign of inflammation.
Rationale 3: Warmth is a sign of inflammation.
Rationale 4: Pallor is not a sign of inflammation; redness is.
Rationale 5: Pitting edema is not a sign of inflammation.
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A nurse is designing a community education program to meet the Healthy People 2020 objectives for nutrition and weight status. What information about these goals does the nurse use to plan this event? (Select all that apply.)
a. Decrease the amount of fruit to 1.1 cups/1000 calories. b. Increase the amount of vegetables to 1.1 cups/1000 calories. c. Increase the number of adults at a healthy weight by 25%. d. Reduce the number of adults who are obese by 10%. e. Reduce the consumption of saturated fat by nearly 10%.
What is the priority nursing diagnosis for a client with a unilateral vocal cord paralysis?
A. Impaired Verbal Communication B. Self-esteem Disturbance C. Impaired Gas Exchange D. Risk for Aspiration
A nurse passes by a computer screen that has patient information that can be seen by visitors. What is the appropriate action for the nurse to take at this time?
a. Leave the computer screen alone. b. Try to find the nurse caring for this pa-tient. c. Document this situation on an incident report. d. Close the computer screen.
Which factor should the nurse remember when administering topical medication to an infant?
a. Infants require a larger dosage because of a greater body surface area. b. Infants have a thinner stratum corneum that absorbs more medication. c. Infants have a smaller percentage of muscle mass compared with adults. d. The skin of infants is less sensitive to allergic reactions.