While bathing a patient with liver dysfunction, the nurse notes yellow skin tone. The nurse should document this finding as:
1) Pallor.
2) Erythema.
3) Jaundice.
4) Cyanosis.
ANS: 3
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The nurse is aware that the eventual outcome of angiotensin on the circulatory system is:
a. vasoconstriction. b. release of sodium and water to be ex-creted. c. increase in blood pressure. d. decrease in cardiac output.
A 29-year-old patient whose mother died from an unspecified cancer at the age of 33 has the following diagnostic test results. What would be appropriate for this patient?
1. The patient is scheduled for a prostate exam. 2. The patient is scheduled for a colonoscopy. 3. The patient is scheduled for a mammogram. 4. The patient is scheduled for an ovarian cancer screening examination.
A two-day-old newborn is asleep, and the nurse assesses the apical pulse to be 88 breaths per minute (bpm). What would be the most appropriate nursing action based on this assessment finding?
A. Call the physician. B. Administer oxygen. C. Document the finding. D. Place the newborn under the radiant warmer.
The client's family is a vital component in a care plan. Which statement demonstrates the effective management of family concerns that can arise?
A) "Would you prefer that we postpone the discussion regarding your rehabilitation needs until your family visits this evening?" B) "Will it be possible for your family to arrange transportation to and from the rehabilitation facility for you if you go on a daily basis?" C) "Your stay in the rehabilitation facility will result in childcare problems at home but first we need to address your health issues and then we'll focus on that." D) "Your family wants only whatever is the best for you and will do whatever is necessary to maintain the family unit while you are focusing on your rehabilitation."