When inspecting the nails for clubbing, which is the normal angle of attachment?
1) 45 degrees
2) 90 degrees
3) 160 degrees
4) 180 degrees
ANS: 3
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A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have?
A) Provide early, thorough discharge planning. B) Make sure the client is administered medications. C) Provide care to the client who is terminally ill and has less than 6 months to live. D) Make home visits to see that the patient is taken care of after discharge.
When auscultating heart sounds, the nurse should:
a. listen at the 3rd intercostal space on the right side of the client's chest. b. count the lub-dub as one beat. c. count for 15 seconds and multiply by 4. d. expect the count to be different from the peripheral pulse.
Which client is at the greatest risk for developing an acid–base imbalance or electrolyte disorder?
1. A client who has a gastrostomy tube 2. 18-month-old who has had watery stools for 3 days 3. 70-year-old with constipation 4. 27-year-old with a 24-hour history of nausea and vomiting
An adult with attention deficit hyperactivity disorder (ADHD) says, "I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job."
The nurse managing care should first consider: a. Aversive therapy to extinguish negative behaviors b. Cognitive therapy to help address internalized beliefs c. Group therapy to allow comparison of feelings with others d. Vocational counseling to identify needed occupational skills