Which assessment finding would the nurse expect to find in a client suspected of having non-Hodgkins lymphoma?
A) pitting edema in one leg
B) enlarged lymph nodes in the neck area
C) severe bone pain in the lower back
D) ataxia and difficulty with walking
B
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When implementing steps to restore skin integrity for a patient with leg ulcers, the nurse should include:
A) Cleansing the skin with alcohol B) Using a bed cradle C) Applying heating pads to the legs D) Avoiding footwear when ambulating
The nurse's plan of care for a patient with stage 3 HIV addresses the diagnosis of Risk for Impaired Skin Integrity Related to Candidiasis. What nursing intervention best addresses this risk?
A) Providing thorough oral care before and after meals B) Administering prophylactic antibiotics C) Promoting nutrition and adequate fluid intake D) Applying skin emollients as needed
When the ED nurse receives a radio call from an ambulance transporting a client who sustained chest trauma and has a severe flail chest, the nurse would set up the treatment area with
a. an intubation tray. b. petroleum jelly gauze. c. a pulse oximeter. d. rib spreaders.
Which question would best assess the quality of a patient's pain?
1) "Can you tell me what the pain feels like?" 2) "Is the pain continuous?" 3) "Does anything make the pain better?" 4) "Is the pain stabbing?"