The nurse is unable to palpate pedal pulses bilaterally on an obese patient. Which is the priority action for the nurse to take?
1) Document that pedal pulses are absent
2) Auscultate heart tones
3) Assess gait
4) Assess pulses with a Doppler
ANS: 4
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An 8-year-old boy has been diagnosed with a sex hormone deficiency and has begun a course of treatment with testosterone. What change in the boy's health status would necessitate a stop to the course of treatment?
A) Excessive growth in height B) Signs of puberty C) Recurrent urinary tract infections D) Increased blood pressure
Which nurse is most likely to use the computer to improve the quality of care provided to specific
patients? A) The innovator nurse B) The informatics nurse specialist C) The beginning nurse D) The experienced nurse
The nurse is making an initial visit to a postpartum family's home. The mother states that she is having difficulty with breastfeeding. Which resource should the nurse tell the family about?
1. The lactation consultant at the hospital 2. Free immunizations through the county public health department clinics 3. Sources of free formula at a local food pantry 4. A support group for mothers who are experiencing postpartum depression
For the patient in hemorrhagic (hypovolemic) shock, the most important nursing action is to:
a. Administer replacement electrolytes orally or by IV b. Administer adequate fluid/blood volume IV c. Place the patient on cardiac monitor to observe for signs of electrolyte abnormalities d. Monitor urinary output as a measure of fluid volume status