An older client is diagnosed with venous insufficiency of the lower extremities. The nurse ex-pects the client to display which of the following signs and symptoms? (Select all that apply.)
a. Thin, shiny dry skin
b. Reddish brown discoloration of the skin of the legs
c. Pain when the legs are elevated
d. Varicose veins
e. Legs are cool to touch
ANS: B, D
A reddish brown discoloration of the lower extremities and varicose veins are present with ve-nous insufficiency. The other signs and symptoms are all associated with arterial insufficiency.
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Of the following list of nursing interventions, which would be considered priority when managing a patient with life-threatening myxedematous coma? Select all that apply
A) Administer 3% sodium IV solution to increase sodium levels. B) Administer 50% dextrose to raise glucose levels. C) Place on oxygen therapy to encourage deep breathing. D) Place on a warming bed to raise body temperature. E) Administer sedatives frequently to prevent seizures.
To adequately care for a laboring woman, the nurse should know that the _____ stage of labor varies the most in length
a. First b. Second c. Third d. Fourth
The nurse is preparing to perform the Rinne test of hearing function. Which action by the nurse is appropriate?
1) Whispers several words to the patient and asks him or her to repeat what was heard 2) Places a vibrating tuning fork in the middle of the head 3) Places a set of earphones over both ears, plays several tones, and asks the patient to identify the sounds heard 4) Uses a tuning fork to compare the length of time the patient hears sound conducted by the mastoid bone versus air conduction
As the nurse manager, you have organizational power that:
a. comes from one's position in a hierarchy. b. comes from a person's buying power or wealth. c. is perceived by a person with extensive knowledge. d. is conferred on members of a profession.