A nurse says to a patient, "Your blood pressure is 142/84. It has come down since you took your pain medication." The nurse is making
A. An inclusionary statement
B. A validating remark
C. An attempt to paraphrase
D. All of the above
ANS: A
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What evaluations should be conducted during an older adult female's routine physical examination? (Select all that apply.)
a. Measurement of height and weight b. Blood pressure c. Electrocardiography d. Rectal examination e. Mammography
Which assessment action will help the nurse determine if an obese patient has metabolic syndrome?
a. Take the patient's apical pulse. b. Check the patient's blood pressure. c. Ask the patient about dietary intake. d. Dipstick the patient's urine for protein.
The nurse is providing dietary teaching to a client receiving a potassium-sparing diuretic about foods that are low in potassium. The nurse should include which of the following on a list of foods that have low potassium content?
1. Apple 2. Carrots 3. Spinach 4. Avocado
An 18 month old with known Tetralogy of Fallot is seen squatting after running in the hospital playroom. The nurse knows the child is:
1. Having a rapid drop in the amount of oxygen in the blood and is short of breath. 2. Having a bowel movement. 3. About to faint because of the lack of oxygen in his blood. 4. Mimicking others in the playroom.