What assessment findings support an older patient's diagnosis of hypothyroidism?
a. A 2-cm wound noted on medial aspect of left foot
b. An apical rate: 98/min
c. A patient report that "I always wear a sweater"
d. A weight loss of 10 pounds over 6 weeks
C
Older patients are seen with complaints of fatigue, cold intolerance, weight gain, muscle cramps, paresthesias, and confusion. The other assessments are not related.
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The parents of a 5-year-old bring their son to the emergency department because of significant eyelid edema. The mother states, "He scratched himself near his eye a couple of days ago while playing outside in the yard
" The nurse suspects periorbital cellulitis based on which of the following? A) Evidence of discharge B) Reddened conjunctiva C) Purplish discoloration of eyelid D) Altered visual acuity
Which measure would be appropriate for the nurse to take in caring for a client with chronic renal failure receiving dialysis via a right arm fistula?
A. Take the client's blood pressure in both arms. B. Take the client's blood pressure in the left arm only. C. Place the right arm in a sling to protect it from injury. D. Have the client perform active ROM arm exercises to aid blood flow to the fistu-la.
Indicate which manifestations are associated with a pulmonary embolism. (Select all that apply.)
A. Chest pain on inhalation B. Dyspnea C. Hemoptysis D. Muffled heart sounds E. Muscle weakness on one side F. Tachycardia
The nurse notes that 8 hours after removing the patient's indwelling urinary catheter, the patient has not voided. Which intervention should the nurse try first to facilitate patient voiding?
a. Run a trickle of water in the bathroom. b. Apply a rolling motion over the bladder. c. Ask about voiding difficulties in the past. d. Instruct the patient to run warm water on the perineum.