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.
ANS: B
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What is an important reason that tube-feeding formulas, such as Impact, Osmolite HN, or Perative, be recommended to clients? A) To suppress immune system function B) To block tumor necrosis factor C) To enhance the production of lymphocytes and NK cells D) To stimulate the immune system to attack tumor cells
A client tells the nurse that before she leaves for work, she has to make sure her daughter gets to day care and that dinner is prepared. The nurse realizes this client might be experiencing:
1. Role mastery. 2. Role conflict. 3. Role ambiguity. 4. Self-esteem.
After teaching the mother about follow-up immunizations for her daughter, who received the varicella vaccine at age 14 months, the nurse determines that the teaching was successful
when the mother states that a follow-up dose should be given at which time? A) When the child is 20 to 36 months of age B) When the child is 4 to 6 years of age C) When the child is 11 to 12 years of age D) When the child is 13 to 15 years of age
A pregnant client who restricted the intake of fat, protein, and sugar to prevent a large weight gain delivers a small-for-gestational-age fetus. What long-term health problems is this child at risk for developing as an adult? Select all that apply
1. Arthritis 2. Diabetes 3. Hypertension 4. Cystic fibrosis 5. Coronary heart disease