When using the mnemonic COLDSPA, which question would be most appropriate to use to evaluate the "P"?
A) "What makes it worse?"
B) "When did it start?"
C) "How does it feel?"
D) "What does it look like?"
A
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Which of the following instructions regarding lithium therapy should be included in a nurse's discharge teaching? (Select all that apply.)
1. Avoid excessive use of beverages containing caffeine. 2. Maintain a consistent sodium intake. 3. Consume at least 2,500 to 3,000 mL of fluid per day. 4. Restrict sodium content. 5. Restrict fluids to 1,500 mL per day.
In order to be actively involved in a plan of care, the client must demonstrate which of the following responsibilities? (Select all that apply.)
a. Truthfulness b. Education c. Acceptance d. Responsibility e. Cooperation
Which of the following would the nurse expect to be done to assess the size of the prostate?
A) Digital rectal examination B) Transillumination C) Pelvic examination D) Bladder percussion
The nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse assesses light bilateral rales when auscultating lung sounds. Which priority action should the nurse take?
a. Decrease IV fluid rate. b. Document the finding. c. Encourage the use of an incentive spirometer. d. Ambulate the client around the nurses' station.