A patient's toenails are brittle and thick. What other assessment should the nurse be sure to include?
a. Respiratory sounds
b. Pedal pulses
c. History of gout
d. Intake of dietary calcium
ANS: B
The nail changes are the result of decreased peripheral circulation. Checking for the strength of pedal pulses can add extra information related to circulation.
You might also like to view...
The nurse is caring for a patient with extensive burns. Which of the following are systemic responses to a burn that the nurse should be aware of? (Select all that apply.)
a. Decreased metabolism b. Hypovolemia c. Increased platelet function d. Increased oxygen consumption e. Depression of immunoglobulins f. Peptic ulceration
Data obtained from a community assessment and survey can be used as the basis for developing a plan to eliminate the risk of a toxic waste dump. A good way to begin program implementation would be to:
A) Plan a cleanup committee made up of student nurses B) Petition the state government about the danger of genetic problems C) Write to a local news station or a national TV news show for public disclosure D) Ask the city council to hold a town meeting to discuss the problem
A child who was visiting a wooded area on vacation presents to the doctor's office with a localized bull's-eye rash. Which action by the nurse is the most appropriate?
A. Advise parents that treatment depends on laboratory results. B. Assess for cardiac and neurological involvement. C. Facilitate admission to a nearby hospital. D. Teach the parents about cefuroxime (Ceftin).
The nurse has received an order for a patient to begin reserpine (Serpasil). What patient education should the nurse include regarding the possible side effects of the medication?
a. "You will have increased urination while on this medication." b. "You will need to take a laxative with this medication." c. "You may feel like you are getting swollen hands and feet." d. "You may experience nausea and vomiting."