A nurse auscultates the right carotid artery in an elderly client. What does this assessment finding mean?
A) It is normal
B) It is distended
C) It is dissecting
D) It is inflamed
Ans: B
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The nurse is assessing an older patient's risk for developing problems while hospitalized for an acute illness. The Hospital Admission Risk Profile (HARP) tool will be utilized. Which assessment areas would alert the nurse to a risk? Select all that apply.
1. Age of 87 2. Manual dexterity score of 14 3. Cognitive function score of 7 4. Ability to self-feed score of 2 5. Independence IADL's score of 5
The nurse is explaining clinical pelvimetry to a patient. The nurse explains that the anteroposterior diameters consist of the: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Diagonal conjugate. 2. Transverse diameter. 3. Conjugata vera. 4. Obstetric conjugate. 5. Oblique diameter.
Which action should the nurse take first during the initial phase of implementation?
a. Determine patient outcomes and goals. b. Prioritize patient's nursing diagnoses. c. Evaluate interventions. d. Reassess the patient.
A nurse is teaching a lesson on fetal development to a class of high school students and explains the primary germ layers. What are the germ layers? (Select all that apply.)
a. Ectoderm b. Endoderm c. Mesoderm d. Plastoderm e. Blastoderm