A woman presents to the emergency department after working outdoors in the sun all day. The nurse suspects heat exhaustion after his initial interview and assessment of the client. Which of the following symptoms would support his diagnosis?
A. Confusion
B. Normal body temperature
C. Elevated body temperature
D. Hypertension
B
In heat exhaustion, clients have normal mental status with the presence of flu-like symptoms. The client may have orthostatic hypotension and tachycardia. The client's body temperature is not significantly elevated.
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Which of the following statements made by a client with peptic ulcer disease indicates a need for further teaching?
A. "I drink decaffeinated drinks now." B. "I avoid bedtime snacks." C. "I am eating six meals a day." D. "I am not drinking alcoholic beverages."
Which is true of splitting of the second heart sound?
A) It is best heard over the pulmonic area with the bell of the stethoscope. B) It normally increases with exhalation. C) It is best heard over the apex. D) It does not vary with respiration.
A physically healthy, 35-year-old single client lives with parents who provide total financial support. According to Erikson's theory, which developmental task should a nurse assist the client to accomplish?
A. Establishing the ability to control emotional reactions B. Establishing a strong sense of ethics and character structure C. Establishing and maintaining self-esteem D. Establishing a career, personal relationships, and societal connections
The nurse is caring for a newly admitted patient. How can a nurse arrive at a more complete database for this patient?
A) Through clustering of data B) Analysis of lab values C) Review of the chart D) Consult with several sources