During the assessment of a client, the nurse notes large, solid, formed muscles of both upper and lower extremities. Which of the following does this finding suggest to the nurse?
1. Sedentary lifestyle, limited activity
2. Weak and limited abilities
3. Active lifestyle, exercises regularly
4. Questionable use of steroids
3. Active lifestyle, exercises regularly
Rationale:
The presence of large, solid, formed muscles of both upper and lower extremities suggest that the client is active and exercises regularly. This type of muscle mass would not be seen in a client with a sedentary lifestyle. This level of muscle mass would not be seen in a client who is weak. This level of muscle mass would not suggest limited activity or limited ability. There is not enough information to support the idea that the client is using steroids to develop muscle mass.
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An older male adult comes to the emergency department after falling at home, and he reports that he cannot walk without losing his balance. Which of the following steps should the nurse implement for this patient?
a. Arrange to transfer him to radiology immediately. b. Determine symptom onset or when he fell at home. c. Organize the tissue plasminogen activator (tPA) infusion. d. Perform a comprehensive neurological assessment.
The electrical conduction of the heart usually originates in the SA node. Which of the following sequences completes the conduction?
A) SA node to Bundle of HIS to AV node to Purkinje fibers B) SA node to AV node to Purkinje fibers to Bundle of HIS C) SA node to bundle of HIS to Purkinje fibers to AV node D) SA node to AV node to bundle of HIS to Purkinje fibers
Modifiable risk factors for breast cancer include what?
A) Obesity B) Age C) Genetics D) Asthma
The nurse who remains nonjudgmental:
A) Avoids being harshly critical of clients. B) Is in need of personal boundaries. C) Refrains from making comments. D) Is incapable of being therapeutic.