By comparing a client's current body weight (266 lbs) with his Desirable Body Weight of 190 lbs, the nurse discovers that the client's current body weight is 40% above his desirable body weight. The nurse realizes that the client is considered:
a. Mildly obese.
b. Within a normal range.
c. Morbidly obese.
d. Below his ideal body weight.
ANS: A
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When the patient asks the nurse the significance of white, curd-like discharge from the vagina, the nurse responds that the:
A) Drainage is physiologic and normal. B) Patient may have a Candida species infection. C) Drainage is caused by vaginal dryness. D) The patient may have Chlamydia.
The nurse is caring for a 4-year-old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would most likely elicit the child's cooperation?
A) "Can you cough for me, please?" B) "You must blow in this or you might get pneumonia." C) "If you don't try, I will have to get the doctor." D) "Can you blow this cotton ball across the tray?"
The nurse is leading a support group for women who have experienced interpersonal vio-lence. When a patient asks about the characteristics of the perpetrators of interpersonal violence, the nurse accurately responds that they are:
a. Usually under the influence of alcohol b. Most often someone the victim knows c. A stranger to the victim in most cases d. Often in a psychotic state during the act
M.R. is a 56-year-old general contractor who is admitted to your telemetry unit directly from his internist'soffice with a diagnosis of chest pain
On report, you are informed that he has an intermittent 2-month history of chest tightness with substernal burning that radiates through to the mid back off and on, in a stabbing fashion. symptoms occur after a large meal; with heavy lifting at the construction site; and in the middle of the night when he awakens from sleep with coughing, shortness of breath, and a foul, bitter taste in his mouth. Recently he has developed nausea, without emesis, that is worse in the morning or after skipping meals. He reports having "heartburn" three or four times a day. When this happens, he takes a couple of Rolaids or Tums. He keeps a bottle at home, at the office, and in his truck. Vital signs (Vs) at his physician's office were 130/80 lying, 120/72 standing, 100, 20, 98.6° F (37° C), spo2 92% on room air. A 12-lead electrocardiogram (ECG) showed normal sinus rhythm with a rare premature ventricular contraction (PVC). What are some common causes of chest pain?