Which of the following would the nurse most likely document when noting a small opening in the skin surrounding the anal opening?
A) Pinworm infection
B) Repetitive trauma
C) Perianal abscess
D) Anorectal fistula
D
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The nurse is caring for a client who was diagnosed with posttraumatic stress disorder 4 months ago. Which should the nurse include in the client's plan of care?
A) Guidelines on conducting activities of daily living B) Information on the treatments available C) Referral to local employment agency D) Information on the need for adequate exercise
The pediatric nurse caring for children with hematological disorders knows that the purpose of stem cell collection is to harvest an adequate amount of stem cells/mononuclear cells as noted by a countable marker on the white cell called a CD34
antigen. A) True B) False
The nurse is assisting a 79-year-old patient with information about diet and weight loss. The patient has a body mass index (BMI) of 31. How should the nurse instruct this patient?
a. "Your weight is within normal limits. Continue maintaining with current lifestyle choices." b. "You are a little overweight. Cut down on calories and increase your activity, and you should be fine." c. "You are morbidly obese, and we would like to schedule you an appointment to speak with a bariatric specialist about surgery." d. "You are considered obese and will need to consult with your doctor about a plan that includes exercises, not diet, to decrease weight."
When assessing a client's gait, which does the nurse look for and encourage?
a. The spine rotates, initiating locomotion. b. Gaze is slightly downward. c. Toes strike the ground before the heel. d. Arm on the same side as the swing-through foot moves forward at the same time.