A client, age 22 years, comes to the clinic and informs the nurse that he began having swelling in his right arm. There has been no injury or precipitating occurrence that caused the swelling
The nurse observes nonpitting edema from the upper arm to the fingertips. What action should the nurse initially perform? A) Instruct the client to elevate the extremity.
B) Inspect and measure the arm.
C) Apply a compression stocking.
D) Administer a diuretic.
B
Feedback:
The nurse inspects and measures the affected area to assess the extent of enlargement and the condition of the skin initially. After collected the data, the nurse may instruct the client to elevate the arm and obtain the correct size for a compression stocking. Diuretic use is not an appropriate intervention at this time and would not be administered without a physician's order.
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This client is at risk for altered sensory reception of which type of stimuli? 1. Visual 2. Auditory 3. Gustatory 4. Visceral
After an assessment, a pregnant patient asks the nurse questions about her changing uterus and body. Which nursing diagnosis would be appropriate for the patient at this time?
A) Anxiety related to being pregnant B) Ineffective coping related to being pregnant C) Health-seeking behaviors related to reproductive functioning D) Disturbance in body image related to body changes with pregnancy
A patient states, "My roommate accuses me of daydreaming when I study, but I'm really imagining the things I'm trying to learn." The nurse understands that this best describes a way of learning common among individuals who are identified as
a. spatial learners. b. linguistic learners. c. logical/mathematical learners. d. bodily/kinesthetic learners.
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