The nurse interviews the client at a yearly office visit. The client states "I don't really eat that much, I'm not that hungry, but I keep gaining weight. Just look at my fat face!" Which of the following conditions should the nurse suspect?
A) Hyperlipidemia
B) Hypothyroidism
C) Diabetes
D) Peripheral vascular disease
B
Feedback:
Anorexia, weight gain, and a puffy face are all characteristics of hypothyroidism.
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The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the:
a. Host b. Alter c. Ego d. Identity
Which nursing intervention is best individualized to meet the needs of a specific client?
1) Suction the client every 2 hours per unit policy. 2) Use incentive spirometry every hour while awake per postoperative protocols. 3) Institute swallowing precautions. 4) Move client out of bed to the chair daily; client prefers to be out of bed for dinner.
The intravenous (IV) site of a patient who has been receiving IV therapy for 2 days is red and has a small amount of pus oozing from around the needle. What is the nurse's best action?
a. Document the finding as an expected response to long-term IV therapy as the on-ly action. b. Immediately notify the prescriber to get an order to discontinue the IV therapy. c. Use an iodine solution to clean the site and replace the dressing. d. Discontinue the IV therapy and notify the prescriber.
You have finished performing a skin prep. You need to report which of the following?
a. How you shaved the person b. How long it took to shave the person c. Areas of intact skin d. Bleeding