While completing the past history of a patient's peripheral vascular and lymphatic systems, the nurse is concerned that the patient is at risk for peripheral vascular disorders
What did the nurse assess in this patient? (Select all that apply.)
A) Heart attack 5 years ago
B) Blood pressure 178/90 mm Hg
C) Currently smokes one pack per day
D) Body mass index 30
E) Mother diagnosed with diabetes at age 70
C, D
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The nurse recognizes that the client with schizophrenia often stops taking her medication secondary to side effects. To prevent this from occurring, what should the nurse plan to teach the client?
1. Take an over-the-counter analgesic as needed for headaches. 2. Avoid prolonged exposure to sunlight and wear sunscreen. 3. Dress lightly to keep from getting too warm. 4. Eat a high-calorie, high-protein diet to avoid weight loss.
A patient who is 2 days post–myocardial infarction has been eating well, ambulating with assistance, and receiving antibiotics and morphine by IV drip. The patient complains of constipation this morning
The nurse assesses the probable cause of the constipation as: 1. inadequate fluid intake. 2. lack of exercise. 3. administration of antibiotics. 4. administration of an analgesic.
The nurse assesses the following lung sounds in a client. What is the nurse's best action? (Click the media button to hear the audio clip.)
a. Administer a rescue inhaler. b. Administer oxygen. c. Assess vital signs. d. Elevate the client's head.
When reviewing the history and physical records of a patient who has alopecia, the nurse should recognize which conditions as a possible cause? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. A thyroid disorder 2. Solar lentigo 3. Three months of chemotherapy for cancer 4. Cushing's syndrome 5. Hypoglycemia