While assessing a patient's lymph nodes, the nurse suspects that the patient has a malignancy. What did the nurse assess to make this clinical decision? Select all that apply.
A. Warm lymph nodes along the upper chest
B. Painful nodes in the neck
C. Lymph nodes adhering to the chest wall
D. Rubbery lymph nodes in the femoral region
E. Hard, nodular lymph nodes in the axillary region
Answer: E
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Factors in the critical care unit that may predispose the client to increased pain and anxiety include: (Select all that apply.)
a. an endotracheal tube. b. frequent vital signs. c. monitor alarms. d. room temperature.
The nurse is supervising a certified nursing assistant (CNA). The nurse intervenes when the CNA asks a patient:
1. "Would you like some more pain medication?" 2. "Would you like some fresh sheets?" 3. "When would you like your bath?" 4. "Is it okay if I take your vital signs?"
Behavior modification is a teaching technique frequently used with children who are cognitively challenged. Which of the following represents this technique?
A) Giving a child a sticker for sitting still for 10 minutes B) Taking away television-watching privileges for running C) Giving the child an extra chore to do for talking in class D) Not allowing the child to play outside for rude behavior
During tissue injury and inflammation, the client's clotting system is activated. While planning care, the nurse chooses interventions based on which functions of the clotting system?
1. Stops bleeding 2. Initiates cell lysis 3. Inhibits mast cells degranulation 4. Prevents the spread of infection 5. Releases prostaglandins from platelets 6. Provides a framework for future healing