During an examination, the nurse finds that a patient's left temporal artery is tortuous and feels hardened and tender, compared with the right temporal artery. The nurse suspects which condition?
a. Crepitation
b. Mastoiditis
c. Temporal arteritis
d. Bell palsy
ANS: C
With temporal arteritis, the artery appears more tortuous and feels hardened and tender. These assessment findings are not consistent with the other responses.
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A nurse assesses a client who is hospitalized for botulism. The client's vital signs are temperature: 99.8 ° F (37.6 ° C), heart rate: 100 beats/min, respiratory rate: 10 breaths/min, and blood pressure: 100/62 mm Hg. Which action should the nurse take?
a. Decrease stimulation and allow the client to rest. b. Stay with the client while another nurse calls the provider. c. Increase the client's intravenous fluid replacement rate. d. Check the client's blood glucose and administer orange juice.
A patient is scheduled to have a pacemaker implanted. The nurse knows pacemakers can be inserted to correct what problem?
A) Increased blood pressure B) Increased pulse pressure C) Malfunction of the sinuatrial (SA) node D) Onset of oncotic pressure
After a bone marrow transplant, a client develops GVHD and is readmitted to the hospital. The nurse intervenes to prevent which potential complication of treatment for GVHD?
a. Anorexia b. Bleeding c. Hypoglycemia d. Infection
The student nurse studying the digestive system knows that most of the work of absorption occurs through a system of villi and folds in the:
A) stomach. B) gall bladder. C) small intestine. D) large intestine.