The nurse is caring for a patient with a Sengstaken-Blakemore tube. Which assessment finding should the nurse immediately report for follow-up?
A. Left lower leg swollen and reddened
B. Absent bowel sounds to lower-left quadrant
C. 3 cm darkened area on left heel
D. Decreased level of consciousness
Answer: D
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You are the nurse caring for a person newly diagnosed with diabetes, and you are developing a holistic plan of care for this patient. You know that for this plan of care to be successful, it must what?
A) Take into account the cost of care B) Connect families, friends, and the environment C) Provide a connection between medicine and nursing D) Address the disease but also incorporate the mind, body, and spirit
A woman tells you that both she and her husband like to continue sexual relations during her menstrual period. They have a monogamous relationship. She asks you if this will harm her. Which of the following would be the best response?
A) "Avoid sexual relations because orgasm may be painful for during your menses." B) "The risk of infection is too great for sexual relations during this time." C) "You will not be able to achieve orgasm during your menses." D) "If this is satisfying for you and your partner, then there is no harm in it."
The nurse pours liquid medication from one tall container to a shorter container. How would the preschool-age child interpret this exchange of the medication?
A) The amount of medicine is less. B) The glass changed shape to accommodate the medicine. C) Pouring medicine hurts it in some way because it changes. D) The amount of medicine did not change, only the appearance.
The nurse is reviewing the difference between micturition and incontinence with a client. Based on the information about the urinary system, what is the best explanation by the nurse to the client about micturition?
A) The maximum of urine in the bladder B) Waking up at night to void C) Involuntary voiding on actions such as sneezing and coughing D) Release of urine from the body