A client tells the nurse that they have been experiencing emotional distress over the past few weeks. Which physical assessment finding should the nurse anticipate?
A. Pinpoint pupils.
B. Elevated blood pressure.
C. Hyperactive bowel sounds.
D. Elevated temperature.
Answer: B
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A 10-month-old-child is in the pediatric clinic for his eighth ear infection. Which assessment is most important for the nurse to perform on this child?
A. Ask the parent about possible allergy testing. B. Assess the child's mouth for oral thrush. C. Graph height and weight on the growth chart. D. Inquire about the health of the entire family.
A nurse is interviewing a 76-year-old patient who lost her spouse of 51 years over a year ago. The patient describes herself as feeling intensely sad and hopeless all the time. What is an appropriate response for the nurse?
1. Assess the patient as experiencing normal grieving. 2. Decide that the patient is experiencing unresolved grief. 3. Determine that the patient is experiencing chronic sorrow. 4. Determine that further assessment for depression is needed.
Within a multisite healthcare system, the most appropriate strategy for translation of research would be:
a. Widespread development of protocols us-ing EBP at unit levels. b. Dissemination of EBP and recommenda-tions to individuals, units, and the organi-zation. c. Development of the skills of individual managers on how to build guidelines based on EBP. d. Establishment of an interdisciplinary cen-ter to guide and lead the translation of re-search findings into practice.
After reviewing her monthly budget report, the nurse manager sees that she has a negative variance, which prompts her to change the staffing schedule. A negative or unfavorable variance in a monthly expense report may result from:
a. Overestimation of inflation. b. Higher than expected client acuity. c. Net revenue exceeding net expenses. d. Not replacing staff who called in sick.