The home care nurse sees a patient for the first time. The patient has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the patient experiencing?
A) Pneumonia
B) Liver disease
C) Congestive heart failure
D) Myocardial infarction
C
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During an assessment, the nurse uses the CAGE test. The patient answers "yes" to two of the questions. What could this be indicating?
a. The patient is an alcoholic. b. The patient is annoyed at the questions. c. The patient should be thoroughly examined for possible alcohol withdrawal symptoms. d. The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment.
In what way have advanced practice nurses most contributed to the development of theories and models in nursing?
a. Using their advanced education to develop new, more realistic theories b. Challenging theorists to publish their theories in language everyone can under-stand c. Requiring theorists to modify their theo-ries to meet the needs of independent practice d. Testing theories in actual nursing practice situations
The nurse is evaluating a client's ability to bend the elbow by bringing the forearm forward and touching the fingers to the shoulder. Which degree of flexion should the nurse anticipate?
A. 200°. B. 90°. C. 180°. D. 160°.
A nurse states, I know I am cleaner than most of my patients. What does this statement indicate?
a. cultural assimilation b. racism c. ethnocentrism d. sterotyping