Which of the following are signs of Vincent angina? (Select all that apply.)
a. An advanced state of malnutrition
b. Enlargement of the cervical lymph nodes
c. Epistaxis
d. Dysphagia
e. A discolored tongue
ANS: A, B, D
Enlargement of the cervical lymph nodes, difficulty swallowing, and mouth ulcers in a malnourished person are indications of Vincent angina.
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The final phase of the nursing process is evaluation, which focuses on:
a. recording the care that was implemented. b. medical and nursing goals for the welfare of the patient. c. long-term goals only. d. the patient responses to interventions and outcomes.
The procedure for palpation of the axillary lymph nodes is to first stand at the patient's right side, facing the patient, and next
a. ask her to flex her head to enhance relaxation of the shoulders and arms. b. abduct her left arm, using your left hand to relax the axillary muscles. c. adduct her right arm, using your left hand so that it is close to the chest wall. d. support her flexed left arm on your left forearm.
A patient has a new prescription for the transdermal form of scopolamine. The nurse knows that this form of scopolamine is used for which condition?
a. Angina b. Chronic pain c. Hypertension d. Motion sickness
A patient had an epidural inserted 2 hours ago. It is functioning well, the patient is stable, and labor is progressing
Which parts of the assessment have the highest priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Assess blood pressure every hour. 2. Assess the pulse rate every hour. 3. Palpate the bladder. 4. Auscultate the lungs. 5. Assess the reflexes.