The nurse is assessing a patient with a 4 day history of diarrhea. The nurse assesses the patient for which of the following?
• Tenting of the skin, although not specific, occurs early on due to dehydration caused by prolonged diarrhea or vomiting
• The nurse should also assess for other signs of dehydration such as weight loss, sunken eyes, hypotension, tachycardia, lethargy, and headache
A nurse is assessing multiple skin lesions on a patient with pemphigus vulgaris. The skin is easily rubbed off when the nurse applies slight friction. This best describes which of the following?
A 37-year-old patient who had a motor vehicle accident sustained a head injury resulting in a subdural hematoma. The nurse caring for the patient noticed that he was confused but later on became unresponsive with a blood pressure of 100/60 mmHg. As the nurse transports the patient to the operating room, which of the following is the most effective position for the patient?
The nurse is assessing a patient suspected of having muscular dystrophy. Which assessment finding is common in all forms and stages of muscular dystrophy?
A patient is seen in the clinic for a large mass on the anterior portion of the neck. The patient complains of constipation and depression. The nurse understands these signs and symptoms to be consistent with:
The nurse is monitoring a patient with diverticulitis for the presence of a bowel perforation. The nurse should be alert to which of the following?
A nurse is assessing a patient who has longstanding hypertension. She knows that complications are possibly arising due to her hypertension when which of the following signs are noted:
A patient is experiencing frequent runs of ventricular tachycardia. The nurse should obtain an order from the provider to check serum levels of:
A 60-year-old patient was diagnosed with pancreatic cancer and asks the nurse caring for him about the possible complications of this disease. The nurse is correct when he answers which of the following?
The nurse is assessing a newly admitted patient and asks about his family health history. Which of the following diseases has a familial basis?
A 41-year-old patient has been diagnosed with a concussion and is now being released from the hospital. Which of the following should the nurse include in the discharge instructions?
A patient who underwent an axillofemoral bypass graft is receiving instructions from the nurse. The nurse should include which of the following information?
A floor nurse is receiving
The nurse is caring for a 58-year-old patient who had an endometrial biopsy. She asks the nurse about the factors that decrease the risk for endometrial cancer. Which of the following would the nurse tell the patient decreases the risk?