Edema is documented when there is a difference in leg circumference of 1 cm above the ankle or ____________________ cm at the calf
Fill in the blank with correct word
ANS: 2
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A nurse cares for a client who has cirrhosis of the liver. Which action should the nurse take to decrease the presence of ascites?
a. Monitor intake and output. b. Provide a low-sodium diet. c. Increase oral fluid intake. d. Weigh the client daily.
In which instance would a psychiatric forensic nurse determine that the legal insanity defense could
be used by a defendant? The defendant a. experienced persistent auditory hallucinations commanding her to drown her newborn. b. admitted to being angry with his wife for committing adultery and tampered with the brakes of her car, leading to her death in a traffic accident. c. shot the drug dealer who refused to give her cocaine when she had no money to purchase the drug. d. poisoned his wife with warfarin after she refused to agree to a divorce.
A patient with asthma is admitted to an emergency department with a respiratory rate of 22 breaths per minute, a prolonged expiratory phase, tight wheezes, and an oxygen saturation of 90% on room air
The patient reports using fluticasone [Flovent HFA] 110 mcg twice daily and has used 2 puffs of albuterol [Proventil HFA], 90 mcg/puff, every 4 hours for 2 days. The nurse will expect to administer which drug? a. Four puffs of albuterol, oxygen, and intravenous theophylline b. Intramuscular glucocorticoids and salme-terol by metered-dose inhaler c. Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen d. Intravenous theophylline, oxygen, and fluticasone (Flovent HFA) 220 mcg
Ketorolac is contraindicated in patients with a history of GI bleeding because it:
A. leads to cerebral ischemia. B. increases intracranial pressure. C. reduces RBC count. D. inhibits platelet function.