The nurse performing a review of systems on an 8-month-old infant who is awake and calm should make the initial assessment:
a. Examination of the ears with an otoscope
b. Auscultation of the heart, lungs, and bowel sounds
c. Obtaining a rectal temperature
d. Palpation of the abdomen
B
Auscultation of the heart, lungs, and abdomen should be the initial assessment as it is the least stressful, especially if the child has had an opportunity to handle the stethoscope.
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A patient at risk of developing deep vein thrombosis has been prescribed warfarin sodium (Coumadin) to be taken daily. The patient also complains of occasional pain to the legs. The nurse should instruct the patient to:
A) Monitor blood pressure weekly. B) Observe for signs and symptoms of infection. C) Report for regular blood studies of international normalized ratio (INR) levels. D) Use aspirin for the pain.
The nurse plans to teach a client who lives with extended family about safety issues in the home. The nurse is:
1. providing disease management. 2. relieving pain and suffering. 3. adapting care to the needs of the client. 4. advocating for lifestyle changes for the client.
Which of the following nurses is given credit for being the first nursing researcher?
1. Virginia Henderson 2. Florence Nightingale 3. Faye Abdellah 4. Dorothea Orem
The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following symptoms: insomnia, exaggerated confidence, attention seeking, and easily agitated
Based on these symptoms, what does the nurse believe these symptoms are caused by? 1. Overdose of barbiturates 2. Mania 3. Side effects of lithium (Eskalith) 4. Depression