In what position should the nurse place the client for measurement of rectal temperature?
a. Supine c. Sims'
b. Prone d. Head elevated 45°
ANS: C
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A patient is admitted to the hospital after a motorcycle accident. The nurse in the emergency room is assessing vital signs, general appearance and behavior, and performing a head-to-toe examination of all body systems. What is the nurse doing?
a. Making a medical diagnosis b. Performing a physical examination c. Making an evaluation d. Performing data validation
Several of the life-supporting systems of the body are involved in shock. However, shock itself results from failure of the:
1. circulatory system. 2. endocrine system. 3. neurological system. 4. respiratory system.
On the basis of the understanding of demographic risk factors related to mental illness, which individual would be most likely to have an untreated psychiatric disorder?
A) 50-year-old Caucasian man B) 35-year-old Korean woman C) 12-year-old Hispanic girl D) 18-year-old African-American man
Which of the following statements made by the nurse regarding the client's self-assessment of pain requires immediate follow-up regarding the personal nature of pain?
1. "The medication should be providing enough relief; try to ambulate her." 2. "I've never known anyone to have such pain after that procedure." 3. "He should be able to ambulate with only minimal pain by now." 4. "She says she's in pain, but she doesn't act like she is in pain."