A client is admitted complaining of having painful leg cramps over the past 8 months. Initially, the cramps occurred with exercise. Recently, however, they've awakened the client at night
Which of the following data are the most important to assess for this client?
1. capillary refill and peripheral edema
2. peripheral pulses and extremity color
3. blood pressure and activity tolerance
4. anxiety and fatigue levels
ANS: 2
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Terminal restlessness
a. Is involuntary thrashing or agitation b. Is a common occurrence at the end of life c. Occurs as a result of progressive shutdown of body systems d. All of the above
A nurse is taking care of an older adult patient with hypertension. He was prescribed an antihypertensive medication; however, he has decided to use a cheaper herbal product that he can buy over the counter and which he thinks will lower his blood
pressure. The patient tells this information to the nurse in an interview. Which is the best response to this patient? a. "That sounds good, but you need to check your blood pressure often." b. "There are several kinds of over-the-counter medications to choose from that can work." c. "You will not need a prescription for over-the-counter medication, and it is cheaper." d. "Herbal products are not regulated for effectiveness in treating hypertension."
The prognosis is the cause of a disease.
Answer the following statement true (T) or false (F)
The nurse observes a withdrawn schizophrenic. The patient is sitting alone and moving her lips as if she is talking, but there is no audible sound. The nurse speaks to the patient by name, but the patient does not seem to hear
What should the nurse do first? a. Hug the patient's shoulders, refer to the patient by name, and ask if she's praying. b. Document the patient's nonresponsiveness and continued detached behavior. c. Sit down in the chair next to the patient, touch her arm, and speak softly. d. Touch the patient's shoulder and then join another group of patients.