When assessing the lymph system of a 52-year-old patient, the nurse notes that the epitrochlear nodes are nonpalpable. What does this indicate?
A) Atherosclerosis
B) Normal finding
C) Possible lymphoma
D) No lymphedema
B
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A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best?
A. Allow the family to continue these practices as desired. B. Assess how these practices reflect religious beliefs. C. Inform the family that most of these practices do not work. D. Provide evidence-based information about the therapies.
Critical thinking is of most value to the nurse who is doing what?
1. Performing a procedure by following the steps in the procedure manual 2. Making decisions about how to handle a patient-based situation 3. Documenting patient care delivered over the past hour 4. Holding the hand of a dying patient who is alone
After birth, the nurse monitors the mother for postpartum hemorrhage secondary to uterine atony. What would increase the nurse's concern about this risk?
a. Hypovolemia b. Iron deficiency anemia c. Prolonged use of oxytocin d. Uteroplacental insufficiency
A nurse is teaching a student nurse how to care for the cast on a patient's arm. Which of the following is a recommended guideline?
A) Handle a plaster cast extremity with the palms of your hands for the first 12 to 24 hours, until the cast is fully dry. B) If the cast is on an extremity, elevate the affected area on pillows covered with waterproof pads. C) Keep the plaster cast covered with gauze until it is completely dry. D) Perform skin and neurovascular assessment according to facility policy, as often as every 3 to 4 hours