The nurse who is assessing a child with patent ductus arteriosus, which is a defect that increases pulmonary congestion, would anticipate finding:
a. A machine-like murmur
b. A weak, thready pulse on exertion
c. A history absent of infections
d. A child of normal weight and height
A
The patent ductus creates a machine-like murmur. The child will have a full bounding pulse on exertion, a history of frequent respiratory infections, and possible failure to thrive.
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The nurse is asked to obtain informed consent for surgery that will be performed on a client the following day. The appropriate action is:
1. Explaining the procedure to the client, and having the client sign the form. 2. Witnessing the signature, not whether the client understands what will occur. 3. Having the client sign a blank form that the physician can fill out later. 4. Having a family member talk to the patient to convince him to have the procedure.
The nursing intervention that would best meet a client's mobility needs for the first 24 hours after modified radical mastectomy is
a. encourage the client to touch the fingers to shoulders, extending arm fully. b. encourage the client to use the operative arm to brush her hair. c. maintain complete immobility of the operative arm for the first 24 hours. d. perform passive range-of-motion exercises with the operative arm.
After completing a home assessment the nurse determines that safety hazards exist in a patient's bathroom. What did the nurse assess to come to this conclusion?
Select all that apply. 1. Water temperature of 150°F 2. Grab bars around the toilet only 3. Scatter rug outside the shower stall 4. Smoke detector battery with a low reading 5. Electrical outlet on the wall near the shower door
The newly licensed LPN/LVN demonstrates an understanding of employment opportunities when applying to a position in which area(s)? (Select all that apply.)
a. An outpatient clinic b. A home health care agency c. An intravenous (IV) therapy team d. A long-term care facility e. An ambulatory care unit