During routine assessment of a critically ill patient, the nurse is able to indent the skin on the dorsal surface of the foot 4 mm, and the skin rebounds in a few seconds. What degree or type of edema is present?
A) Nonpitting edema
B) 2+ pitting edema
C) 3+ pitting edema
D) 4+ pitting edema
B
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A 7-year-old boy has been admitted to the hospital with a diagnosis of fever of unknown origin. He has numerous tests ordered for diagnosis. When preparing him for the blood tests ordered, the best explanation would be,
A) "The technician will draw your blood; it will just hurt for a minute." B) "The doctor needs some of your blood; trust me, it won't hurt." C) "The doctor needs to look at your blood to see why you are sick; it will hurt for a second." D) "I need to draw some blood from you. Will you hold still for me?"
The drug label reads 1 mg per 3 mL. Prepare a dose of 700 mcg. Express your answer to the nearest tenth
What will be an ideal response?
The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy. Which of the following would indicate that instruction has been effective?
1. The client states the need to eat a well-balanced diet with green salads. 2. The client states the need to use a soft toothbrush, electric razor, and avoid injuries. 3. The client states that bruising is normal. 4. The client states that minor bloody sputum is to be expected.
An active 25-year-old female client shared with the nurse that ever since she had gone on a high-protein low-carbohydrate diet she had suffered from constipation
The client states that the diet is working for her in terms of weight loss and would like to stay on it. The best response from the nurse is that the client should try: 1. Consuming more low-carbohydrate fiber-rich foods like broccoli, raspberries, blackberries, and asparagus 2. Taking a laxative when feeling constipated 3. Try a different diet with less tendency to cause constipation 4. Exercise more