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An older client has an oral temperature reading of 97.2 degrees F. The nurse realizes
that this clients low temperature could be due to which observation?
A. The anxiety level of the client has increased.
B. Hormones have fluctuated in this client.
C. Muscle activity has increased during the clients therapy session.
D. Loss of subcutaneous fat is noted.
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D. Loss of subcutaneous fat is noted.
While assessing the dorsalis pedis pulse of a client, the nurse determines that the
pulse is absent. However, the extremity is warm and pink with nail beds blanching at 2
to 3 seconds of capillary refilling time. How would the nurse explain these findings?
A. A change in the clients health status has occurred.
B. The client has thrown a blood clot in that extremity.
, C. The RNs watch has stopped working.
D. Too much pressure was applied over the pulse site.
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D. Too much pressure was applied over the pulse site.
A patient has been admitted to the unit with a diagnosis of Pertussis. Which of the
following precautions are appropriate?
a. Contact precautions
b. Droplet precautions
c. Airborne precautions
d. Standard precautions
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b. Droplet precautions
The RN is reviewing patient vital signs. The RN notes a blood pressure of 128/84.This is:
a. normal blood pressure for this patient, they have not had medications yet
b. Hypertension (stage I)
c. Hypertension (stage 2)
d. Hypotension
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B. b. Hypertension (stage I)