Which stem question best indicates that an "Analysis" category question is being asked?
a. Which action should the nurse perform first?
b. You know your teaching concerning co-lostomy care was successful if the client makes which statement?
c. Identify the data that are most important to obtain for a client with cardiac disease.
d. Which nursing diagnosis has the highest priority?
D
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When assessing a client, the nurse notes edema over the tibia that leaves a 4 mm indentation in the skin. The nurse appropriately documents this finding as:
a. pretibial pitting edema. b. 2+ ankle edema. c. 4+ pretibial edema. d. 3+ popliteal edema.
Eruption of deciduous teeth (baby teeth) usually begins:
1. at 1 month of age. 2. at birth. 3. prenatally. 4. at 6 months of age.
Aggressive prevention measures should be implemented for a patient in the general population with a pressure ulcer risk on the Braden Scale of less than or equal to:
a. 16. b. 18. c. 20. d. 24.
When obtaining the vital signs of a client with multiple traumatic injuries, a nurse detects bradycardia, bradypnea, and systolic hypertension. The nurse must notify the physician immediately because these findings may reflect which complication?
a) Shock b) Encephalitis c) Increased intracranial pressure (ICP) d) Status epilepticus