Karen, a 32-year-old woman now at 32 weeks gestation, is complaining of right-sided sharp abdominal pain. Karen is examined by the clinic nurse and given information about abdominal discomfort in pregnancy
Karen is also instructed to seek immediate attention if she:
Select all answers that apply:
A) Has heartburn
B) Has chills or a fever
C) Feels decreased fetal movements
D) Has increased abdominal pain
B, C, D
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The nurse is examining a 5-year-old boy. Which of the following signs or symptoms is a reliable first indication of respiratory illness in children?
A) Slow, irregular breathing B) A bluish tinge to the lips C) Increasing lethargy D) Rapid, shallow breathing
Which of the following can interfere with establishing the patient's trust during the initial interview?
a. greeting the patient by first name b. conducting the interview in a private room c. stating the purpose of the interview d. establishing a time frame for the interview
The nurse includes in the teaching plan that malignant tumors are similar to benign tumors because both:
1. contain cells that closely resemble those in the tissue of origin. 2. travel quickly to invade and destroy other tissues and organs. 3. always grow and multiply very rapidly, competing for space and nutrients and causing severe pain. 4. may press on nearby surrounding tissues, such as nerves and blood vessels, caus-ing pain.
The nurse is checking peripheral perfusion to a child's extremity following a cardiac catheterization. Which assessment finding indicates adequate peripheral circulation to the affected extremity?
1. A capillary refill of greater than three seconds 2. A palpable dorsalis pedis pulse but a weak posterior tibial pulse 3. A decrease in sensation with a weakened dorsalis pedis pulse 4. A capillary refill of less than three seconds with palpable warmth