At which point in the physical examination should the nurse assess a patient's vital signs?
A) After the integumentary status examination
B) After the cardiovascular system examination
C) After the respiratory system examination
D) After the body measurements examination
D
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A 6-month-old girl weighs 14.7 pounds. Her birthweight was 8 pounds. Which of the following is the priority nursing intervention?
A) Teaching the mother about solid food consumption B) Discouraging daily fruit juice intake C) Increasing the number of breast feedings D) Discussing the child's feeding patterns
A client who has left hemiparesis as a result of stroke is getting out of bed to the chair for the first time. The nurse should position the chair
a. at a right angle to the client's left side. b. at a right angle to the client's right side. c. facing away from the side of the bed. d. facing the side of the bed but within 1 foot.
A nurse visited a middle-aged client at home after his hospital discharge. The client was cleaning a gun. When the nurse asked the client to put the gun away, the client became agitated. What is the nurse's best action at this time?
a. Apologizing and saying that the visit will be rescheduled when the client is feeling better b. Focusing on client assessment and staying calm because filling out the necessary forms will not take long c. Hurrying through the visit and finishing the documentation inside the safety of the nurse's car d. Using a low voice and slow, calm movements, and asking whether there is a problem
When planning for a client with obsessive-compulsive disorder (OCD)who has been admitted for severe exacerbation of symptoms, the nurse should set which of the following interventions as a priority?
A) Giving medications in a timely fashion to maintain steady blood levels. B) Starting all group sessions on time and incorporating all group members into the discussion. C) Assessing the patient for suicide risk since they may also have a major depression. D) Discussing with the patient whether their obsessions involve self-mutilation acts like pulling their hair.