During the defervescent phase of fever, the client exhibits which of the following symptoms?
1. shivering
2. perspiring
3. fetal positioning
4. chills
ANS: 2
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The nurse planning care for a patient after severe head trauma and long-term unresponsiveness considers which effect of immobility affecting the lungs? Select all that apply
a. Atelectasis b. Hyperventilation c. Pooled secretions d. Reactive airway e. Hypocarbia
To remove fluid during hemodialysis, a positive hydrostatic pressure is applied to the blood and a negative hydrostatic pressure is applied to the dialysate bath. This process is known as
a. ultrafiltration. c. reverse osmosis. b. hemodialysis. d. colloid extraction.
Your 12-year-old patient complains of pelvic discomfort, which she states is the result of injuries from riding a horse.Your assessment of a patient reveals bruising of the mons pubis and labia
Which additional finding is the strongest evidence that the patient has been sexually abused? a. lack of eye contact and complete relaxation b. genital herpes lesions c. vaginal infection d. urinary tract infection
A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse
Which action by the nurse is the most appropriate? 1. Make arrangements for the child to go to a special school. 2. Ask the parents of the child to provide a caregiver during school hours. 3. Recommend that the child be home schooled. 4. Teach the teacher how to care for the child in the classroom.