A patient comes to the emergency department with complaints of back pain. After interviewing this patient, the nurse sees that he is a little cyanotic and has problems following the conversation. What should the nurse conclude about this patient?
a. The patient is sleepy after being up all night.
b. The patient is bored with this whole process.
c. The patient has signs of being overdosed.
d. The patient is on asthma medication.
ANS: C
Overdose may cause cyanosis (blue color to the skin) and reduce the level of alertness.
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The nurse is performing wellness checks at a community center for older adults. Which person would the nurse evaluate as having the highest risk of stroke?
a. White, 55 years of age, BP 148/92 mm Hg b. African-American, 70 years of age, BP 150/100 mm Hg c. Asian-American, 40 years of age, BP 146/78 mm Hg d. White, 74 years of age, BP 150/82 mm Hg
A 30-year-old African American had surgery 6 months ago. Her incisional site is now raised, indurated, and shiny. This tissue growth is most likely a(n)
a. angioma. b. keloid. c. melanoma. d. nevus.
An older client is diagnosed with sleep apnea. Which interventions can the nurse add to the client's care plan to address this health problem? Select all that apply.
1. Discussing smoking cessation techniques 2. Encouraging the client to sleep on the side 3. Instructing to avoid alcohol before going to sleep 4. Suggesting sleeping in an upright position in a chair 5. Consulting with a dietitian to discuss meal planning for weight reduction
MC The P wave on the ECG represents
A. Atrial repolarization. B. Atrial depolarization. C. Ventricular repolarization. D. Ventricular depolarization.