To assess jaw movement of an adult patient, the nurse uses which technique?
a. Asking the patient to open the mouth and then passively moving the patient's open jaw from side to side
b. Placing two fingers in front of each ear and asking the patient to slowly open and close the mouth
c. Asking the patient to open the mouth and to resist the nurse's attempt to close the mouth
d. Using the pads of all fingers to feel along the mandible for tenderness and nodules
ANS: B
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In developing an end-of-life plan of care for the client, the nurse should identify which hygiene goal as appropriate?
1. Provide hourly sponge baths for end-of-life comfort. 2. Involve the client in 30% of her bath daily. 3. Maintain clean skin by providing daily whirlpool baths. 4. Involve the family in hygiene care daily to maintain clean, dry skin.
A patient at risk for the development of type 2 diabetes mellitus asks why weight loss will reduce risk of the condition. Which response by the nurse is most accurate?
1. "The amount of foods taken in require more insulin to adequately metabolize them, resulting in diabetes." 2. "Excess body weight impairs the body's release of insulin." 3. "Thin people are less likely to become diabetic." 4. "The physical inactivity associated with obesity causes a reduced ability by the body to produce insulin."
A nurse working in the emergency department is aware that the flesh-eating bug can be caused by
A. Staphylococcus aureus B. Clostridium perfringens C. Bacteroides fragilis D. All of the above
What is required of a client who leaves the hospital against medical advice (AMA)?
A) Nothing. The hospital has no legal concerns. B) Full reimbursement of any medical expenses C) Providing contact phone numbers if needed D) Signing a form releasing legal responsibility