Which findings should the nurse anticipate when assessing a client developing right-sided heart failure?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Ankle edema
B. Enlarged liver
C. Displaced apical heart rate
D. Shortness of breath
E. Coughing
Answer: C
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The nurse visits an older client who lives alone, is not eating well and has very little food available in the home. The nurse also might want to assess the client's:
1. number of visits by family. 2. ability to do her own grocery shopping. 3. availability of local grocery stores. 4. access to local restaurants.
A team leader is making out the patient care assignment. A new patient needs several extensive dressing changes for open diabetic wounds, a nasogastric (NG) tube feeding, and irrigation of the Foley catheter as needed
Which member of the care team is best suited for this assignment? a. Nurse aide A, who has had 10 years' ex-perience working at this facility, especially because this room is on the hall area where this NA is usually assigned b. Nurse aide B, who has just been employed but has recently been through the state nurse aide certificate program and needs the experience of these treatment modali-ties c. Nurse aide C, who is always asking for something new to try out and who is at-tending LPN/LVN school in off-duty hours d. LPN/LVN C because these treatments are covered under the LPN/LVN state prac-tice act
The nurse is preparing a seminar on planning for a hospitalization for residents of an assisted living facility. What information should the nurse include in the seminar? Standard Text: Select all that apply
1. Bring a copy of advanced directives for healthcare. 2. Bring a list of current medications and current labs. 3. Bring valuable jewelry and money to avoid leaving it unattended. 4. Bring good walking slippers, a bathrobe, and items such as books. 5. Bring several changes of clothing to avoid wearing a hospital gown.
A patient complains of pain with chewing, earache, and grinding her teeth when asleep. These are symptoms of:
A. Temporomandibular joint syndrome B. Trigeminal neuralgia C. Facial nerve palsy D. Angina