List four observations about patients with diseases of the cardiovascular system that should be reported to the nurse.
What will be an ideal response?
· Change of color
· Pallor or cyanosis
· Redness
· Cool to touch
· Hot to touch
· Changes in pulse rate or rhythm
· Changes in blood pressure
· Edema
· Disorientation
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The nurse is reinforcing teaching for a patient being treated for myopia. Which of the following statements by the patient would indicate a correct understanding of the teaching?
a. Corrective concave lenses b. Cataract surgery c. Mydriatic ophthalmic drops d. Corrective convex lenses
After abdominal surgery, a client has difficulty coughing, saying, "It hurts too much." The nurse should teach the client to:
1. ask for pain medication if the pain is severe. 2. support the abdomen with a pillow during the coughing exercises. 3. turn and deep-breathe without coughing. 4. cough without straining the abdomen.
A nurse is teaching women about health promotion measures related to breast cancer. The woman the nurse would advise is at higher risk and should be sure to engage in breast cancer screening activities is the woman who
a. began menstruation at an early age. b. experienced menopause at an early age. c. had five children. d. needed surgical removal of her ovaries at age 32.
The priority nursing diagnosis for the significant other of a client with Alzheimer's disease is:
a. Risk for injury related to impaired cognition. b. Deficient knowledge related to disease process and medication regimen. c. Deficient knowledge related to adequate nutritional intake for client. d. Risk for caregiver role strain related to stress of caring for client.