When assessing a client who weighs 250 pounds and stands 5' 3" tall, it would be important to
A) Assess the HDL/LDL levels
B) Obtain an electrocardiogram daily
C) Assess blood pressure with a large cuff
D) Assist to a standing position to assess gait
Ans: C
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The nurse is assessing a patient and determines that the vital signs are not within normal range for the patient. With the results of the objective data being abnormal, what does the nurse document these findings as?
A) Symptoms B) Subjective data C) Physical assessment D) Signs
A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother reports that her husband is an alcoholic and is currently sleeping. What is the most ap-propriate action for the nurse to take?
a. Question the mother about sexual abuse. b. Initiate interventions directed at family violence. c. Report the case of suspected child abuse to authorities. d. Refer the mother to a social worker or Al-Anon group.
The patient received an overdose of morphine. Naloxone is given to block the narcotic response. What is the effect achieved when naloxone is administered known as?
A. Additive B. Negative C. Synergistic D. Antagonistic
Which is the priority nursing action when providing care to a pediatric client who has documented allergies to cow's milk, peanuts, and latex?
1. Evaluating the hospital room for equipment containing latex 2. Ordering an EpiPen for the child 3. Notifying dietary of the milk and peanut allergy 4. Placing a sign on the door which identifies all allergies