A nurse observes the posture of a male client and finds him leaning forward and bracing himself while sitting on the exam table. Which of the following would the nurse most likely suspect?
A) Chronic obstructive pulmonary disease
B) Neurological deficit
C) Metabolic disorder
D) Balance disorder
A
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The nurse admits a 9-month-old for a well-baby checkup. The mother tells the nurse she has been adding foods one at a time to the diet, and hasn't encountered any problems. This morning, she noticed a fine, raised rash around the child's mouth
The nurse asks the mother: 1. "Have you introduced any new foods into the diet within the last 24 hours?" 2. "Have you changed soaps or detergents recently?" 3. "Has there been any drainage from the area?" 4. "Does the child drool excessively when sleeping?"
An older male patient admits to doing many things in life that he is not proud of and is having a difficult time getting them out of his mind. How should the nurse respond to the patient's statement?
A) "Remember that no one has lived a perfect life.". B) "Is there anyone that you might want to ask forgiveness from?" C) "Is there anything I can do to help you focus on more positive things?" D) "Do you think that you were really any worse than most other people?"
Before invasive procedures, clients with valvular disease are usually prescribed antibiotics. The nurse understands the reason for this preventative action is to avoid which of the following complications?
A) Infective endocarditis B) Rheumatic heart disease C) Congestive failure D) Septic shock
A patient with severe burns is admitted to the intensive care unit to stabilize and begin fluid resuscitation before transport to the burn center. The nurse should monitor the patient closely for what signs of the onset of burn shock?
A) Confusion B) High fever C) Decreased blood pressure D) Sudden agitation