The nurse assesses brisk reflexes in a patient. The nurse would document this finding as which of the following?
A) 1+
B) 2+
C) 3+
D) 4+
C
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A nurse is teaching a postpartum patient about preventing infection after discharge. What action by the patient indicates that she needs additional teaching?
A. Allows milk to dry on her nipples after nursing B. Removes her peri-pad from back to front C. Sprays water from the peri-bottle from front to back D. Washes her hands prior to using the bathroom
A patient with SLE has come to the clinic for a routine check-up. When auscultating the patient's apical heart rate, the nurse notes the presence of a distinct "scratching" sound. What is the nurse's most appropriate action?
A) Reposition the patient and auscultate posteriorly. B) Document the presence of S3 and monitor the patient closely. C) Inform the primary care provider that a friction rub may be present. D) Inform the primary care provider that the patient may have pneumonia.
A client is receiving anakinra. After administering the drug, the nurse would continue to assess the client for which of the following?
A) Constipation B) Abdominal pain C) Retinal changes D) Pancytopenia
A nurse is teaching a community group about bone health. Which of the following does the nurse recommend? (Select all that apply.)
a. Engage in regular weight-bearing exercise. b. Get plenty of calcium and vitamin D in the diet. c. If diagnosed with osteoporosis, take medications as prescribed. d. Stop, or do not start, smoking. e. Swim or cycle to get aerobic activity without stressing joints.