A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 100/56, apical pulse 56, respiratory rate 12
Which of the vital signs should be addressed immediately? a. Respiratory rate
b. Temperature
c. Apical pulse
d. Blood pressure
B
Hypothermia is defined as a core body temperature of 95° F or below. Homeless individuals are more at risk for hypothermia owing to exposure to the elements.
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Which of the following documentations in the client's chart on the 10th postpartum day indicates a normal involution process?
a. Moderate bright red lochial flow b. Breasts firm and tender c. Fundus below the symphysis and not palpable d. Episiotomy slightly red and puffy
A street person is brought to the hospital after having been badly beaten. She is states the hospital is
the "gateway to hell.". She is withdrawn and does not want to talk with anyone. She is thought to have a schizoid personality disorder. The approach most useful for working with this client is to a. seek detailed information about what happened to help the client see her role in causation. b. simply and clearly tell her what is going to be done before taking any action. c. alternate between being warm and friendly and neutral and businesslike. d. try to inject a bit of humor into the situation to relieve tension.
Which of the following is a major reason why the American public doesn't get sufficient amounts of exercise?
A) Lack of interest B) Lack of knowledge C) Lack of time D) Cost
Which of the following expected outcomes is correct for a client with the nursing diagnosis Self-Care Deficit related to cognitive impairment?
A) The nurse will stress the importance of adequate fluid intake. B) The client, with supervision, will brush her teeth. C) The client will eliminate safety hazards in her environment. D) The client will be able to name the staff that works on the day shift.