A patient is experiencing a new onset of hoarseness. What additional assessment finding should the nurse use to suspect that this patient is experiencing a thoracic aneurysm? Select all that apply.
A. Distended neck veins
B. Lumbar back pain
C. Brassy cough
D. Absent pulses in the wrists
E. Edema of the face
Answer: E
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Tanya is a nursing student who is finding the demands of the nursing program heavy and nearly overwhelming at times. She is amazed that her classmate Yvonne seems unbothered by the workload and stressors of the program
How should Tanya best interpret Yvonne's experience with the demands of the program? A) Yvonne's mental and physical limitations may be different from Tanya's. B) Yvonne may not be acknowledging the seriousness of providing nursing care. C) Yvonne is likely better than Tanya at disguising the stressors in her life. D) Yvonne may be in denial about her responsibilities.
A positive sign of pregnancy is:
a. Fetal movement felt by the woman. b. Amenorrhea. c. Breast changes. d. Visualization of fetus by ultrasound.
A pregnant adolescent asks the nurse, "Why does the physician call measuring my uterus ‘a fundal height'?" The nurse's answer is based on the fact that the fundus of the uterus is located:
1. Between the internal cervical os and the endometrial cavity. 2. In the elongated portion where the fallopian tubes enter. 3. In the lower third area. 4. In the uppermost (dome-shaped top) portion.
The patient who receives morphine sulfate intravenously by patient-controlled analgesia (PCA) tells the nurse that the pain level is 8 on a scale of 0 to 10 . Which is the best intervention for the nurse?
a. Check the volume of morphine in the PCA syringe. b. Check the frequency of patient-controlled dosing. c. Collaborate with the provider to increase basal rate. d. Instruct the family to activate the pa-tient-controlled dose.