A nurse assessing a patient with liver disease expects to find which manifestation during the examination?
a. Yellowish color in the axilla and groin
b. Yellow pigmentation in the sclera
c. Very pale skin on the palms
d. Ashen-gray color in the oral mucous membranes
ANS: B
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A nurse is providing care for a patient who is postoperative day one following a bowel resection for the treatment of colorectal cancer. How can the nurse best exemplify the QSEN competency of quality improvement?
A) By liaising with the members of the interdisciplinary care team B) By critically appraising the outcomes of care that is provided C) By integrating the patient's preferences into the plan of care D) By documenting care in the electronic health record in a timely fashion
A client is unable to care for her needs and requires assistance with activities of daily living
The son calls the clinic and informs the LPN that he wants his mother to be able to remain in her home but must work and is unable to care for her 24 hours per day. What options can the LPN suggest for the care of his mother? A) Employ private duty nurses to care for the parent. B) He must admit his mother to a nursing home. C) He will have to quit his job and stay home to care for her. D) Take her to an adult day care center.
In order to best assure client safety and affective medication therapy, the nurse suggests that the son who will be a administering his parent's medications via PEG (percutaneous enteral gastrostomy) tube:
a. Ask the pharmacist to provide the medications in liquid form when available b. Crush all medications and add them to the tube feeding c. Medications that can not be crushed should be given orally d. Medications should be administered via the PEG all at once, one time daily
John is a 26-year-old patient who is receiving inpatient care for the treatment of schizophrenia. John believes himself to be a police informant who is under threat from organized crime members, and he rarely sleeps, paces frequently,
and has tremulous hands and pressured speech. What actual nursing diagnosis should the nurse identify when planning John's care? A) Delusions B) Schizophrenia C) Persecution D) Anxiety