The nurse is working at a clinic, where several clients are waiting to be seen. Which client does the nurse assess first?
a. Client with temporal arteritis with new onset of blurry double vision
b. Client with polymyalgia rheumatica with low-grade fever and fatigue
c. Client with polymyositis reporting gene-ralized rash and joint pain
d. Client with ankylosing spondylitis who presents with back pain and weight loss
A
Vision changes in a client with temporal arteritis are a dangerous sign that warrants immediate medical attention. The other clients' signs and symptoms are commonly seen with their condi-tions and may be addressed on a more routine basis.
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A primigravida is being monitored in her prenatal clinic for preeclampsia. Which finding should concern her nurse?
a. Blood pressure (BP) increase to 138/86 mm Hg b. Weight gain of 0.5 kg during the past 2 weeks c. A dipstick value of 3+ for protein in her urine d. Pitting pedal edema at the end of the day
Self-examination of the male genitalia:
a. should be restricted to adults with a prior cryptorchidism. b. should be performed while bathing. c. starts with palpation and then inspection. d. should be performed yearly.
Which topic is assessed during the past health history portion of the health history interview?
1) Current medications 2) Dermatologic infestations 3) Skin lesions 4) Substance abuse
The nursing process consists of collecting data (assessment), nursing diagnosis, planning, implementation, and evaluating nursing care. Which step of the nursing process is the sole responsibility of the registered nurse?
a. Planning b. Assessment c. Implementation d. Nursing diagnosis