A normal deep tendon reflex is charted as
A) 1+.
B) 2+.
C) 3+.
D) 4+.
B
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After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
__________ is an inflammation of breast tissue, which can occur in one or both breasts
Fill in the blank(s) with correct word
A patient, admitted with frostbite burns to his feet, is receiving pain medication, fluid replacement, and monitoring for any signs of organ dysfunction
The nurse realizes this approach to care for a patient with frostbite is considered 1. aggressive. 2. controversial. 3. conservative. 4. innovative.
You are palpating the abdomen and feel a small mass. Which of the following would you do next?
A) Ultrasound B) Examination with the abdominal muscles tensed C) Surgery referral D) Determine size by percussion