Describe the assessment you need to perform to determine if these problems are present
What will be an ideal response?
General: Any history of fever, night sweats, weight loss
Skin: Look for other lesions, such as Herpes zoster or simplex lesions, dermatitis, fungal infections of
the skin or nail beds
Ear, nose, and throat: Candidiasis, hairy leukoplakia; cervical lymphadenopathy
Cardiovascular: Friction rub, murmurs, gallops
GI: Hepatomegaly, splenomegaly, change in bowel habits, anorexia, nausea, vomiting
Genitourinary: Herpes lesions; candidiasis; warts; syphilitic chancres; discharge from penis or rectum;
cloudy urine; complaints of frequency, urgency, or burning with urination
Neurologic: Flattened affect, apathy, withdrawal, memory deficits, headache, weakness
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A client just returned to the surgical unit after a gastric bypass. What action by the nurse is the priority?
a. Assess the client's pain. b. Check the surgical incision. c. Ensure an adequate airway. d. Program the morphine pump.
A client tells the nurse that he believes he is not just religious but also spiritual even though he participates in religious rituals. The client is describing which characteristic of spirituality?
a. Relationship with the self b. Relationship with a higher power c. Harmony with nature d. Relationship with others
Which of the following are modes of heat loss in the newborn? (Choose all that apply.)
1. Perspiration 2. Convection 3. Radiation 4. Conduction 5. Urination
The community health nurse is engaging in the core function of policy development. With which of the activities would the nurse most likely be involved?
A) Monitoring health status to identify community health problems B) Empowering communities about important health issues C) Linking individuals to needed personal health services D) Ensuring a competent health care workforce is available