The nurse is reading a research article that addresses the research of someone else. This type of research is considered as being:
a. historical research. c. evaluative research.
b. a primary source. d. a secondary source.
ANS: D
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A client informs the nurse that he has been diagnosed with degenerative joint disease of the fingers but now has these bumps on his fingers that don't hurt. The nurse observes bony nodules on the distal interphalangeal joints
What type of "bumps" does the nurse understand these are? A) Rheumatoid nodules B) Tophi C) Bouchard's nodes D) Heberden's nodes
An elderly client reports difficulty reading and driving, especially at night. He also reports he has difficulty getting up and down his stairs because "they seem to blend together." Which nursing diagnosis is most appropriate for this client?
a. Sensory/perceptual alterations: sensory deprivation related to therapeutic isolation. b. Risk for injury: falls related to declining vision associated with aging. c. Sensory/perceptual alterations: sensory overload related to hospitalization. d. Altered thought processes related to hospitalization and aging.
A patient being mechanically ventilated is demonstrating hypoxia, with a pulse oximeter reading of 88%. After ensuring the integrity of the ventilator tubing and assessing the patient, the nurse auscultates adventitious lung sounds
Which action should the nurse take next? 1. Suction the patient. 2. Contact the physician. 3. Turn the patient on the side. 4. Silence the alarm.
While conducting a pain assessment, the nurse knows to assess which of the following? Select all that apply
1. Duration 2. Location 3. Intensity 4. Etiology 5. Neurology