In assessing a patient with renal disease, the nurse palpates edema in both ankles and feet. Based on this finding, what question does the nurse ask the patient?
a. "Have you had any pain in your abdomen?"
b. "Have you had an unexpected weight gain?"
c. "Have you noticed a change in the color of your skin?"
d. "Have you had any nausea or vomiting?"
ANS: B
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A 36-year-old patient diagnosed with meningitis has a fever of 102.3° F. A family member verbalizes a concern that the patient is "breathing fast
" Upon assessment, the nurse notes a respiratory rate of 20 breaths/min, pulse oximetry is 92% on 2L/O2, and lungs clear to auscultation. What is the best explanation for the rapid respiratory rate that the nurse can give the family member? a. "He is most likely anxious because he is in the hospital." b. "His fever has increased his metabolic rate and is causing him to breathe faster." c. "He is hyperventilating because he needs more oxygen." d. "He has an acid-base imbalance, which is causing him to hyperventilate."
A critically ill patient has a living will in his chart. His condition has deteriorated. His wife says she wants "everything done," regardless of the patient's wishes. Which ethical principle is the wife violating?
a. Autonomy b. Beneficence c. Justice d. Nonmaleficence
A school nurse is concerned about the almost skeletal appearance of one of the high school students. Although all of the following nutritional problems can occur in adolescents, which one is most often associated with a negative self-concept?
A) Eating fast foods B) Obesity C) Fad dieting D) Anorexia nervosa
A patient enters the emergency department with a stab wound to the chest. The physician places chest tubes to drain air and blood from the patient's thoracic cavity
The nurse sets up the chest tube drainage system. Where should the nurse place the system? a. Below the patient's chest b. At the level of the patient's heart c. 1 inch higher than the head of the bed d. At the level of the patient's diaphragm