42. A nurse is performing an integumentary assessment on a 6…
42. A nurse is performing an integumentary assessment on a 60-year-old patient with a history of prolonged sun exposure. The nurse is assessing for the presence of any abnormal lesions. Which of the following techniques demonstrates the correct method for inspecting and palpating the skin for lesions or abnormalities?
Read Details37. A 45-year-old patient with a history of breast cancer an…
37. A 45-year-old patient with a history of breast cancer and an implanted infusaport for chemotherapy is scheduled for routine blood work. The nurse is preparing to draw blood from the infusaport. Which of the following actions should the nurse take to ensure the procedure is done safely?
Read Details17. The nurse is caring for a client who is receiving isoton…
17. The nurse is caring for a client who is receiving isotonic intravenous (IV) fluids at an infusion rate of 125 mL/h. The nurse performs an assessment and notes a heart rate of 102 beats per minute, a blood pressure of 160/85 mm Hg, and crackles auscultated in both lungs. Which is the priority action for the nurse?
Read Details19. The nurse is assessing a client brought to the emergency…
19. The nurse is assessing a client brought to the emergency department for treatment for dehydration. The nurse assesses a respiratory rate of 26 breaths/minute, a heart rate of 110 beats/minute, a blood pressure of 86/50 mm Hg, and a temperature of 39.5° C. The client becomes dizzy when transferred from the wheelchair to a bed. The nurse notes cool, clammy skin. The patient’s symptoms correlate with which of the following?
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