Which of the following observations about a postoperative patient should the nursing assistant report immediately?
A. Rising or falling blood pressure
B. Extreme thirst or extreme restlessness
C. Very pale or blue skin, lips, and fingernails
D. All of these
Answer: D
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The nurse is admitting a client to an inpatient psychiatric unit. The client is speaking wildly in another language and is obviously very agitated. Which action by the nurse would be appropriate to calm the client?
A) Placing the client in a room, away from others B) Speaking to the client in a soft and calm tone C) Administering a prn medication to sedate the client D) Using short sentences when talking to the client
When performing a TSE, a 19-year-old client detects a firm, painless lump on his right testis and notes his scrotum is enlarged. The client's alkaline phosphatase is elevated, and an ultrasound confirms a lesion that is thought to be malignant
What is the usual treatment for testicular cancer? a. biopsy of the testis b. removal of the lesion only c. removal of both testes with examination of the nodes d. radical inguinal orchiectomy
Which of the following is a correct step in removing and cleaning a hearing aid?
a. Clean only the external surfaces, not the canal portion. b. Clean the top part of the canal portion of the device. c. Insert a wax loop or toothpick into the hearing aid itself. d. Remove the battery before taking the hearing aid from the ear.
While being bathed by the nurse, a client with AIDS asks the nurse, "Aren't you afraid of getting this disease from me?" Which response would be most therapeutic?
1. "You sound surprised that I want to spend time with you." 2. "No, I always use universal precautions." 3. "Statistics show that few nurses get AIDS from their clients." 4. "I firmly belief that whatever will be, will be."