With Complete Solutions
How can petechiae be assessed in dark-skinned clients? Correct
Answers Check abdomen, buttocks, forearm, or oral mucosa
How would the nurse instruct a patient to do pursed lip
breathing? Correct Answers Take a deep breath, purse lips,
exhale slowly
What are Kussmaul's respirations and in which patients are they
seen? Correct Answers Deep, rapid, labored breathing; seen in
DKA patients
What are the causes and complications of elevated potassium
levels? Correct Answers Causes: hyperkalemia;
Complications: shortness of breath, chest pain, nausea and
vomiting, heart palpitations
What are the characteristics associated with Huntington's
Disease? Correct Answers Fidgety, constant motion, random
movements, dementia, suicidal thoughts
What are the expected characteristics of a stoma following
colostomy surgery? What characteristics would need immediate
attention? Correct Answers Good: Pink and moist; Bad: Purple
or dusky
What are the precipitating factors to a pain crisis for patients
with sickle cell anemia? Correct Answers Stress, dehydration,
smoking, infection
, What are the recommendations for exercise for older adults?
Correct Answers Walk 30 minutes a day, 3-5 times a week
What are the risk factors for laryngeal cancer? Correct Answers
Smoking, alcohol, GERD, dusty environment
What are the side effects of external radiation therapy? Correct
Answers Skin irritation, redness, dryness, peeling or blistering
What are the signs and symptoms of hypermagnesemia?
Correct Answers Weakness, nausea, confusion, headaches,
dizziness, decreased deep tendon reflexes, hypotension
What are the signs and symptoms of testicular cancer? Correct
Answers Lump or swelling in testicle, heaviness in scrotum
What are the signs of infiltration and how do they compare to
signs of phlebitis? Correct Answers Phlebitis signs: warm,
tender; Infiltration signs: cold, clammy, pale, swelling
What are the symptoms of high calcium levels? Correct
Answers Confusion, risk for kidney damage, risk for electrical
conduction issues in the heart
What assessment findings indicate a patent AV fistula in the arm
of a patient receiving hemodialysis? Correct Answers Listen
for a bruit and feel for the thrill