Which term will the nurse use when documenting bluish spider veins found during a skin assessment?
1) Capillary hemangioma
2) Spider angioma
3) Telangiectasia
4) Venous star
ANS: 4
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A patient is receiving parenteral nutrition (PN). While caring for the patient receiving PN what is the nurse's best action?
a. Begin the infusion at 150 mL/hour. b. Maintain a consistent infusion rate. c. Touch the insertion site itself with a clean-gloved hand. d. Monitor the laboratory values on a weekly basis.
An adult patient is scheduled for an upper GI series that will use a barium swallow. What teaching should the nurse include when the patient has completed the test?
A) Stool will be yellow for the first 24 hours postprocedure. B) The barium may cause diarrhea. C) Fluids must be increased to facilitate the evacuation of the stool. D) This series includes analysis of gastric secretions.
A nurse is caring for a patient in the immediate postoperative period after surgery in which a spinal anesthetic was used. The patient has not voided and complains of headache
The patient has a pulse of 62 beats per minute, a respiratory rate of 16 breaths per minute, and a blood pres-sure of 92/48 mm Hg. Which action by the nurse is appropriate? a. Contact the anesthetist to request an order for ephedrine. b. Have the patient sit up to relieve the headache pain. c. Lower the head of the bed to a 10- to 15-degree head-down position. d. Obtain an order for a urinary catheter for urinary retention.
The nurse would assess a client with severe acute respiratory syndrome (SARS) for the major clinical manifestation indicating the onset of the lower respiratory phase, which is
a. dry, nonproductive cough. b. hemoptysis. c. pleuritic pain. d. rapid temperature elevation.