A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which of the following would lead the nurse to suspect that the woman is developing an infection? (Select all that apply.)
A) Fetal bradycardia
B) Abdominal tenderness
C) Elevated maternal pulse rate
D) Decreased C-reactive protein levels
E) Cloudy malodorous fluid
B, C, E
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The nurse caring for a patient receiving heparin intravenously for a diagnosis of pulmonary emboli is evaluating the patient's laboratory data and recognizes that a therapeutic range for the international normalized ratio (INR) is:
A) 0.5 to 1.0 B) 1.0 to 1.5 C) 1.5 to 2.0 D) 2.0 to 2.5
A novice nurse is learning the difference between pain and suffering. What kind of experience does the nurse associate with suffering? Select all that apply
1. Mental 2. Spiritual 3. Emotional 4. Physiological 5. Psychological
You observe clubbing of the fingers in an older man. What is your interpretation of the significance of this finding?
A. You should ask the client if this condition has been present since birth. B. This finding is most commonly associated with chronic disorders of impaired gas exchange. C. You should ask the client about his occupation and hobbies and any other activi-ties involving exposure of the hands to harsh chemicals. D. Clubbing of the fingers is a common age-related change and is considered a nor-mal finding among older adults, especially men.
When the nurse formulates a goal that "the client will be able to accurately draw up the correct dose of insulin," the nurse recognizes this goal as referring primarily to health teaching in which domain?
a. Changing attitudes b. Psychomotor c. Understanding content d. Promoting acceptance