The nurse is assessing the skin condition and color of an African-American client. Which of the following would the nurse consider to be an abnormal finding?
A) Evenly distributed color
B) Light to medium dark brown skin
C) Ashen gray skin color
D) Absence of lesions on body surface
C
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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.
Use the label to calculate the correct dose. Order: Vistaril? 50 mg IM Give: ____________________
Fill in the blank(s) with correct word
A client has had a head injury affecting the brain stem. What is located in the brain stem that may affect respiratory function?
A) Chemoreceptors B) Stretch receptors C) Respiratory center D) Oxygen center
The community health nurse is trying to locate information about sanitation in the community. Which is the best source for this information?
A) Planning office B) Waste and water treatment plants C) Air control board D) Census data