Where is the best site to assess capillary refill on an 88-year-old client?
A. Fingernails
B. Forehead
C. Toenails
D. Lips
D
Many older adults have thickened or discolored fingernails and toenails, making assessment of cyanosis and capillary refill difficult. Lips are a highly vascular, easily blanched area appropriate for assessing central capillary refill.
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A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?
a. Urinary calculi, probably located in the ureter b. Kidney infection, most likely pyeloneph-ritis c. Cystitis, probably from bacterial conta-mination d. Interstitial cystitis (although rare in a male patient)
While a woman is being treated for preterm labor with IV magnesium sulfate, it is essential that the nurse frequently assess the patient's:
a. appetite. b. skin turgor. c. capillary refill. d. respirations.
To determine the effects of therapy for a patient who is being treated for heart failure, which la-boratory result will the nurse plan to review?
a. Troponin b. Homocysteine (Hcy) c. Low-density lipoprotein (LDL) d. B-type natriuretic peptide (BNP)
A nurse is reinforcing discharge instructions concerning foodÂ?drug interactions. The nurse determines that the patient understands when the patient makes which statement?
1. "I should take my medications with water to avoid any problems with my medications being absorbed." 2. "I cannot take one of my medications with grapefruit juice because it will decrease the absorption of the medication." 3. "I need to be sure to read the prescription label because the pharmacist will indicate if I need to take my medication with food or without food." 4. "I should take my daily vitamin 2 hours after my medication so they do not affect each other." 5. "If I take my medication with hot tea, it will not affect absorption."