The nurse observes diminished pulses, cold skin, and a pulsatile mass over the femoral artery in a patient reporting pain in the right leg. What condition does the nurse suspect in this patient?
a. Venous thromboembolism
b. Buerger's disease
c. Femoral aneurysm
d. Popliteal entrapment
Answer: c. Femoral aneurysm
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At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:
Capillary Blood Glucose Testing (AC/HS) Dietary Intake At 0630: 95 At 1130: 70 At 1630: 47 Breakfast: 10% eaten - client states she is not hungry Lunch: 5% eaten - client is nauseous; vomits once After reviewing the client's assessment data, which action is appropriate at this time? a. Assess the client's oxygen saturation level and administer oxygen. b. Reorient the client and apply a cool washcloth to the client's forehead. c. Administer dextrose 50% intravenously and reassess the client. d. Provide a glass of orange juice and encourage the client to eat dinner.
Risk reduction would be an important activity of which of the following concepts?
a. Health behavior b. Health promotion c. Health protection d. Self-efficacy
What is the most important question for the nurse to ask in deciding to use prayer or scripture with
a patient? A) What does prayer/scripture mean to the patient? B) How have prayer/scripture been meaningful to the patient in the past? C) What type of prayer or scripture passage is most appropriate for this situation? D) Whose need is being met — nurse's or patient's?
The nurse is caring for a client who had been receiving supplemental cortisone. The client developed a bleeding ulcer, and the steroid was discontinued
The bleeding has stopped but the blood pressure remains unstable. The nurse recognizes that the unstable blood pressure is related to: 1. down-regulation of corticosteroid receptors. 2. up-regulation of epinephrine. 3. up-regulation of corticosteroid receptors. 4. down-regulation of epinephrine.