Normally air enters the body through the:
a. Nose
b. Mouth
c. Windpipe
d. Alveoli
A
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The perinatal nurse is assessing a 36-year-old woman at term who is in early labor. The nurse assesses for findings that indicate pain, including which of the following? (Select all that apply.)
A. Blood pressure: 100/64 mm Hg B. Frequent voiding in small amounts C. Increased irritability related to repeated questions D. Pulse rate of 106 beats per minute E. Verbalizing concern with coping ability
An overweight client is reluctant to get on the scales at the healthcare provider's office. The client verbalizes that not wanting to know the current weight. Which response by the nurse is the most appropriate?
1. "The doctor requires all of her clients to be weighed." 2. "This information is very important. If you step on the scales, I will just write your weight down and not say it out loud." 3. "I really do not like it either, but it has to be done." 4. "We can just use your weight from your visit last year."
Following admission, how soon must a comprehension rehabilitation plan of care be implemented on a rehabilitation patient?
a. 12 hours b. 24 hours c. 3 days d. 1 week
A client is complaining of pain in the lower left quadrant of the abdomen. The nurse prepares to percuss the abdomen and notes that the client has a great deal of hair on the lower abdomen. The nurse should:
1. Shave the client's abdomen. 2. Discontinue using percussion. 3. Moisten the abdominal hair. 4. Document that the client has hirsutism.