The nurse palpates an older patient's lower legs and notices an indentation of approximately 4 mm left by the fingertips, which disappears in about 10 seconds. How will the nurse document this edema in the medical record?
1) +1
2) +2
3) +3
4) +4
ANS: 2
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A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?
a. Feelings of anger that her partner infected her b. Loose stools over the last 2 days c. Anorexia and nausea d. Chills and a temperature of 101 ° F
A nurse in the Emergency Department is assessing a client with a moderate left pneumothorax. What does this nurse expect to find during the respiratory examination?
a. Increased fremitus over the left chest b. Tracheal deviation to the left side c. Distant to absent breath sounds over the left chest d. Hyporesonant percussion tones over the left chest
An employment contract is made between a nurse and a health care agency to perform certain services. The nurse is aware that this is an example of which type of law?
a. administrative c. contract b. civil d. statutory
Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a dying client?
A) Communicate hopefulness. B) Keep the client clean and well groomed. C) Share emotional pain. D) Help the client live according to his or her wishes.