A nurse is collecting initial data from a 75-year-old client with a duodenal ulcer. What would be the first symptom or clinical manifestation the nurse would expect to see in this client?
A. Pain
B. Melena
C. Syncope
D. Hematemesis
B
Older adult clients with ulcer disease often present with melena as the initial manifestation.
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While caring for a patient with an endotracheal tube, the nurses recognizes that suctioning is required
A) every 2 hours. B) when adventitious breath sounds are auscultated. C) to prevent the patient from coughing. D) to stimulate the cough reflex.
A client is being taught how to safely irrigate ears to remove cerumen. What is the correct order of self-ear irrigation? (Separate letters by a comma and space as follows: a, b, c, d.)
a. Fill the syringe with lukewarm water. b. Hold the head at a 30-degree angle. c. Insert the tip of the syringe carefully into the ear canal and aim toward the canal roof. d. Tilt the head at a 90-degree angle to remove excess fluid. e. Use one hand to hold the syringe and the other to push the plunger. f. Repeat the procedure on the opposite ear. g. Continue the procedure until at least a cup of fluid has flowed into and out of the ear. h. The ear should fill with fluid and the water will flow out with cerumen.
A client has been diagnosed with problems with microcirculation. Which definition does
microcirculation refer to? A) Blood flow through the smallest of the arteries called arterioles B) Blood flow through the capillaries, the smallest vessels of all C) Blood flow into the coronary sinus opening and on to atrium D) Blood flow into microscopic branches of the coronary arteries
Ethical standards are
A) guides to legal behavior. B) actions that constitute illegal behavior. C) acts of wrongdoing. D) guides to moral behavior.