A nurse notes which finding as normal during cardiovascular assessment of an adult client?
a. Visible, consistent pulsations of the jugular vein
b. Pink nail beds with a 90-degree angle at the base
c. Capillary refill of the toes greater than 5 seconds
d. Bruits heard on auscultation of the carotid arteries
ANS: A
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In planning care for the patient who is on a protocol of bleomycin, an antitumor antibiotic, the nurse will add to the care plan an intervention to:
a. assess hearing acuity. b. measure urinary output. c. weigh daily to assess fluid retention. d. monitor cardiac arrhythmias.
A child with hypoparathyroidism is receiving Vitamin D therapy. The parents should be advised to watch for which of the following signs of Vitamin D toxicity?
1. Excessive thirst 2. Anorexia, insomnia, nausea, and vomiting 3. Weakness, fatigue, nausea, and vomiting 4. Headaches and seizures
While researching information for a paper, a nurse comes across two versions of a nursing minimum data set, one that is international and one from the United States
Which data would the nurse identify as part of the international set but not included in the U.S. set? Select all that apply. A) Clinical service type B) Intensity of nursing care C) Reason for admission D) Nursing diagnoses E) Patient outcomes
When using a mechanical lift to move a patient, the leg spreader should be
A) opened wide. B) closed completely. C) adjusted for patient comfort. D) at a 45 degree angle.