Which of the following is an appropriate nursing action when evaluating a client's neck for thyroid enlargement?
A) Inspect changes in pigmentation in the neck.
B) Palpate the thyroid gland repeatedly.
C) Palpate the thyroid gland gently.
D) Examine the skin of the neck for excessive oiliness.
C
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The nurse should instruct clients about health-related measures that promote elimination and discourage laxative overuse, including which of the following:
a. exercise and activity. c. adequate fluid intake. b. adequate caffeine intake. d. taking frequent rest periods.
When caring for an elderly client, the nurse observes that the client is quiet and does not have any visitors. Which action helps develop therapeutic communication between the nurse and the client?
A) Having the client discuss concerns with other clients B) Helping the client to resolve feelings and speak up C) Talking with the client using direct questions D) Asking the client's family to participate in client care
A patient presents with altered respiratory patterns following head trauma. Based on the symp-toms, which of the following areas does the nurse suspect is injured?
a. Cerebrum b. Cerebellum c. Midbrain d. Reticular formation
Epinephrine is indicated during newborn resuscitation if:
A) the heart rate does not increase above 80 beats/min after 30 to 60 seconds of effective positive-pressure ventilation. B) the newborn is bradycardic and thick secretions are hindering your ability to provide effective positive-pressure ventilations. C) the heart rate remains below 60 beats/min after 30 seconds of effective ventilation and an additional 30 seconds of chest compressions. D) profound central cyanosis persists despite 30 seconds of effective positive-pressure ventilation with 100% supplemental oxygen.