During an assessment, the nurse uses the profile sign to detect:
a. Pitting edema.
b. Early clubbing.
c. Symmetry of the fingers.
d. Insufficient capillary refill.
ANS: B
The nurse should use the profile sign (viewing the finger from the side) to detect early clubbing.
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A patient with schizophrenia has been taking haloperidol for several years
The care team and the patient have collaborated and chosen to transition the patient to an atypical antipsychotic in an effort to reduce adverse effects and maximize therapeutic effects. In order to reduce the patient's risk of extrapyramidal effects during this transition, the care team should do which of the following? A) Gradually taper the dose of haloperidol. B) Have a 2- to 3-week "drug holiday" between stopping the haloperidol and starting the atypical antipsychotic. C) Administer haloperidol and the atypical antipsychotic drug concurrently for 6 to 8 weeks. D) Arrange for weekly electroconvulsive therapy during the time of transition.
The nurse is conducting a health history interview for a client who is experiencing symptoms of asthma. The nurse asks the client, "When did your symptoms begin?" Which interactional skill is the nurse using by asking this question?
1. Attending. 2. Leading. 3. Focusing. 4. Questioning.
A client is treated in the clinic for a sexually transmitted infection, and the nurse suspects that the client is at risk for HIV. The physician determines that the client should be tested for the virus. What responsibility does the nurse have?
A) The nurse ensures a written consent is obtained prior to testing. B) The nurse should send the client to have the blood drawn without informing him about the specific screening test. C) The nurse will call the client with the results of the test. D) The nurse will inform the client that the results will have to be reported to the Centers for Disease Control and Prevention (CDC).
An elderly client tells the nurse that she is having difficulty sleeping because she is up all night voiding since she has been told to drink eight glasses of water every day. Which of the following should the nurse assess in this client?
a. Volume of urine output with each episode of voiding b. Ambulatory status c. Appetite d. Time in which the fluids are being ingested