The nurse is reviewing the following vital signs of a client who is lying in bed. Which of the following would the nurse identify as being abnormal?
A) Oral temperature—98.4oF
B) Radial pulse—78 beats/minute
C) Respirations—28 breaths/minute
D) Blood pressure—116/68 mm Hg
C
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The nurse assesses a client during a panic attack and determines the client's level of anxiety to be acute. What physical changes did the nurse likely observe? Standard Text: Select all that apply
1. Sweating 2. Breathing difficulty 3. Trembling 4. Impaired cognition 5. Vomiting
A patient is unable to obtain a sputum specimen by coughing and expectorating. What is the best way for the nurse to collect this specimen?
a. Ask the patient to spit b. Direct the patient to turn, cough, and breathe deeply c. Perform tracheal suctioning d. Perform a bronchoscopy
The home health nurse makes a nursing diagnosis of unresolved grief for a patient who was widowed 5 months ago after:
a. seeing that the patient keeps a picture of the husband by her bed. b. the patient said tearfully, "I can't believe he is gone." c. assessing that the patient eats out frequently rather than cooking at home. d. the patient says that she attends church three times a week.
Home care nursing is a specialty area. What does it require? (Mark all that apply.)
A) Advanced knowledge and skills in general nursing practice B) An emphasis on acute medical-surgical nursing C) Advanced knowledge and skills in rehabilitation D) An emphasis on community-oriented nursing E) An emphasis on community health