The nurse is assessing a client with facial trauma. Which assessment findings require immediate intervention? (Select all that apply.)
a. Stridor
b. Nasal stuffiness
c. Edema of the cheek
d. Ecchymosis behind the ear
e. Eye pain
f. Swollen chin
A, D
Stridor is a sign of airway obstruction and requires immediate intervention. Ecchymosis or bruising behind the ear is called "battle sign" and indicates basilar skull fracture.
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The nurse is assessing the abilities of an older adult. Which activities are considered IADLs? Select all that apply
a. Feeding oneself b. Preparing a meal c. Balancing a checkbook d. Walking e. Toileting f. Grocery shopping
Which of the following is the best way for nurses to minimize their struggles in making ethical decisions?
A) Take no action unless an advance directive, will, and other legally binding documents are in effect B) Act on the recommendations of a patient's healthcare provider, friends, and family members C) Consult the guidelines of the American Nurses Association and the institution's ethics committee D) Maintain nursing's traditional focus on following physicians' orders and providing care and comfort for the patient
The nurse has decided to contact state legislators regarding support for a health bill. Which is true about such requests?
1. Drop-in visits to the legislator's office are very effective. 2. Faxed copies of a form letter have the most impact. 3. Legislators should be addressed informally by first name. 4. Letters should be thoughtful and informed, but concise.
The nurse is caring for a patient infected with the human immunodeficiency virus (HIV)
The nurse understands that this patient may be vulnerable to opportunistic infections, especially if there were an indication of the HIV conversion to acquired immunodeficiency syndrome (AIDS). Which of the following findings would most concern the nurse? a. Very low helper T lymphocyte count b. High level of macrophages c. Low red blood (RBC) cell count d. Low neutrophil count