A patient is admitted to the emergency department with severe frostbite to both feet. Which of the following assessment findings would the nurse expect to see?
• Severe frostbite (third and fourth degree) causes the muscles, tendons, vessels and nerves to freeze. The result is hard, waxy skin and loss of sensation
• Severe frostbite will result in purple or black blisters
• Blood vessel freezing will cause decreased perfusion and minimal exudate
The nurse is educating a patient recently diagnosed with muscular dystrophy. When explaining the normal course of this disease, the nurse should know that the patient:
After surgery on a left femur fracture, the patient is ordered partial weight bearing. Which of the following is correct about partial weight bearing?
The nurse is instructing a patient with Cushing's disease. Which of the following statements by the patient indicates an understanding of the management of Cushing's disease?
A 48-year-old female with Addison's disease is admitted to the hospital. When assessing the patient, the nurse would expect:
The nurse is caring for a patient with a small bowel obstruction. When planning the patient's care, the nurse should consider the immediate goal to be:
A 53-year-old male patient is scheduled to undergo an endoscopic retrograde cholangiopancreatography (ERCP). The nurse performs an assessment on the patient prior to the procedure. Which of the following health background information from the patient should alert the nurse?
The nurse is assessing a patient with chronic renal failure (CRF). Which assessment finding would the nurse look for?
A man is admitted to the hospital for possible urethritis. The nurse assesses the patient closely for what common signs and symptoms?
The nurse is providing instructions to a patient with a gastric ulcer. The patient is being treated with
A patient with a recent head injury is in a coma. The patient had already identified his wife as
A patient at risk for colorectal cancer is receiving education about lifestyle choices. The nurse should emphasize which of the following modifiable risk factors
A client with an elevated temperature, fatigue, and labored breathing is admitted with a diagnosis of pneumonia. Which of the following nursing interventions should be started to assist with airway clearance?
The nurse is caring for a patient with a paralytic ileus. While assessing the patient, the nurse would expect bowel sounds to be:
The nurse is preparing to administer human immune globulin to a patient. The nurse explains to the patient that these types of vaccines:
A nurse is preparing a patient for an electroencephalogram (EEG) and magnetic resonance imaging (MRI). This patient has poor impulse control and episodic aggression. What is the nurse's responsibility?
The nurse discovers an unconscious patient and suspects a spinal cord injury. After calling for help and delivering chest compressions, a second nurse arrives and she immediately:
A patient admitted for a head injury develops dry skin and a urine output of 400 ml/hr. Prioritize the nurse's next actions:
1. Notify the physician.
2. Complete a neuro assessment.
3. Assess the patient's urine specific gravity and blood sodium levels.
4. Start IV fluids and administer desmopressin (DDAVP).