When assessing a patient, the nurse notes that the patient has an unnatural paleness of color to the skin. How should the nurse document this finding?
a. Skin pallor
b. Pruritus
c. Sallow skin
d. Jaundice
ANS: A
Pallor is an unnatural paleness or absence of color in the skin; it may result from a decrease in hemoglobin and erythrocytes.
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A client who complains of recurring headaches, accompanied by increased irritability, photophobia, and fatigue is asked to track the headache symptoms and occurrence on a calendar log. Which is the best nursing rationale for this action?
A) Cluster headaches can cause severe debilitating pain. B) Migraines often coincide with menstrual cycle. C) Tension headaches are easier to treat. D) Headaches are the most common type of reported pain.
Divide 566.8 by 1,000
1. 5,668 2. 56.68 3. 5.668 4. 0.5668
A newborn is coughing and crying. She also has active motion of her extremities. She has a pulse rate of 120 beats/min and has blue extremities. Her torso is pink. What is her Apgar score?
A) 5 B) 9 C) 6 D) 7
A client's vital signs at 20:00 (8:00 PM) are a blood pressure of 140/88, a pulse rate of 88 beats per minute, and a respiratory rate of 24 breaths per minute
What normal changes in the client's vital signs would a nurse anticipate at 04:00 (4:00 AM) when the client is sleeping? a. Blood pressure of 148/96 b. Pulse rate of 96 beats per minute c. Blood pressure of 130/76 d. Pulse rate of 60 beats per minute