An older adult client is receiving furosemide (Lasix) for treatment of peripheral edema. Which nursing assessment data identify that the client is at risk for falling?
A. Dry oral mucous membranes
B. Orthostatic blood pressure changes
C. Pulse rate of 72 beats/min and bounding
D. Serum potassium level of 4.0 mEq/L
Answer: B. Orthostatic blood pressure changes
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Which of the following statements is true about assessing a child in pain? The pain assessment is
A) one-dimensional. B) multidimensional. C) subjective only. D) objective only.
A 73-year-old patient reports to the nurse about waking up early and not being able to return to sleep. The patient states, "I do not go to bed until after the evening news
" What is the best advice for the nurse to give this patient to encourage a good night's sleep? a. Take a nap in the afternoon. b. Go to bed earlier. c. Go to bed later. d. Take a benzodiazepine.
The nurse is preparing the client for a bone marrow aspiration at the posterior iliac crest. What would be the best position for the nurse to place the client in for the test?
A) Head of the bed in a 90° semi-Fowler's position B) Prone position C) On the side opposite the aspiration site D) Lithotomy position
Which of the following correctly matches the type of decelerations with its likely cause?
1. Early deceleration — umbilical cord compression 2. Late deceleration — uteroplacental inefficiency 3. Variable deceleration — head compression 4. Prolonged deceleration — cause unknown