Anurse is assessing a dark colored complexion patient with peripheral percussion. Which of the following should the nurse assess for cyanosis?
Ans) Cyanosis is when hemoglobin is poorly oxygenated and the blood and the skin turn blue in Caucasians. It common during heart failure and severe breathing disorders, and appears even in the mucous membranes and the nail beds. Its presence indicates the absence of oxygen.
- In dark-skinned individuals, cyanosis may be noted as an ashen or gray color most easily seen in the conjunctiva of the eye, mucous membranes, and nail beds. Reddish, deep brown, purple, and grayish blue skin tones are not signs of cyanosis in dark-skinned individuals. The grayish blue tone noted in nail beds, earlobes, lips, mucous membranes, and so forth indicates cyanosis in light-skinned individuals.
Anurse is assessing a dark colored complexion patient with peripheral percussion. Which of the following should...
patient has a gallstone lodged in the common bile duct that has resulted in dark colored urine, light colored stools, and jaundice. Which of the following would the nurse expect to teach the patient about? A: ursodiol, Actigall B: hepatitis B surface antigen C: ERCP D: Extracorporeal shock wave lithotripsy
49. Wbete assessing the Muscle Strength of a patient, the nurse should: Select all that apply A Assess each muscle group for range of motion (8) Assess muscle strength and compare to opposite side C Assess each muscle group for strength and equality D. Note presence and location of crepitation E. Document normal findings as grade 4
2, What a nurse should do before assessing a patient?
s that there is short of breath which of the following Anurse is caring for a dient who has COPO. The nurse actions should then take it? 0 Assess percentage of oxygen saturation Measure vital signs Encourage coughing before activities Administer neu ser treatments as prescribed O Anurse is caring for a dient who is experiencing ventur the nurse i on Won of the towing is the priority action by Initiate chest compressions Defibrillate the client a 200 puies. Ventilate...
s that there is short of breath which of the following Anurse is caring for a dient who has COPO. The nurse actions should then take it? 0 Assess percentage of oxygen saturation Measure vital signs Encourage coughing before activities Administer neu ser treatments as prescribed O Anurse is caring for a dient who is experiencing ventur the nurse i on Won of the towing is the priority action by Initiate chest compressions Defibrillate the client a 200 puies. Ventilate...
a. Posterior tibial b. Popliteal c. Femoral d. Dorsalis pedis 20. Which of the following should the nurse perform to assess the arterial function of the lower extreme a. Allen's test b. Homan's sign c. Assess for pretibial edema d. Palpate pedal pulses bilaterally 21. The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find: a. Lesions that run together. b. Annular lesions that...
A nurse is assessing an older adult client. Which of the following finding should the nurse expect?
28. The nurse is caring for a 25-year old patient diagnosed with a poorly functioning lower esophageal sphincter. The nurse may advise the patient to do which of the following? A. Avoid ingestion of antacids B. Avold whole grains c. Lay down immediately following meals D Limit water intake E. Avoid alcoholic beverages 29. A 35-year-old male client presents to the emergency department after sustaining a severe tibial fracture to the left leg. The nurse is assessing the injury for...
20. A nurse suspects that a patient is having a stroke. Which of these choices reflects the first step in assessing a patient for a stroke? a. The nurse assesses the patient’s muscle strength and movement by asking them to push down on her hands with their feet. b. The nurse checks the patient’s vital signs and asks the patient with several questions to assess the patient’s orientation. c. The nurse looks at the patient’s face to assess for facial...
The nurse is reviewing information in the medical record of a patient with syndrome of inappropriate antidiuretic hormone secretion. Which of these manifestations should the nurse investigate first when assessing this patient? A: The patient states I have a headache B: The patient is lethargic and difficult to wake C: The patient states I feel thirsty D: The patient’s urine is dark amber in color