The nurse is admitting a client to the surgical unit. What statement by the nurse best reflects the nurse's assessment of the fifth vital sign?
A. "Do you have any concerns regarding your environment?"
B. "Are you experiencing any discomfort right now?"
C. "Is there anything I can do for you now?"
D. "Do you have any complaints of pain?"
Ans: B. "Are you experiencing any discomfort right now?"
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A client asks the nurse about the prescribed diet after gastric surgery. The nurse clarifies that a high-protein, high-fat, low-carbohydrate, dry diet is the best choice after gastric surgery because this diet
a. does not cause diarrhea. b. does not dilate the stomach. c. is quickly digested. d. is slow to leave the stomach.
The nurse is reinforcing education regarding the risks of bypass procedures for a patient who has had an ischemic stroke
What risks should the nurse discuss? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Infection 2. Unstable blood pressure 3. Renal failure 4. Thrombotic stroke 5. Hemorrhage
Four hours after a total knee replacement, a 78-year-old client is found to have a heart rate of 110 bpm. The nurse should assess the client for:
A) cardiac arrhythmia. B) pain. C) hypothermia. D) elevated blood pressure.
Which statement made by an emergency department nurse indicates accurate knowledge of domestic violence?
A. "Power and control are central to the dynamic of domestic violence." B. "Poor communication and social isolation are central to the dynamic of domestic violence." C. "Erratic relationships and vulnerability are central to the dynamic of domestic violence." D. "Emotional injury and learned helplessness are central to the dynamic of domestic violence."