Author: Anonymous

A patient denies suicidal ideation but appears withdrawn and tearful. What should the nurse document?

Mrs. Thompson, a 68 year-old retired music teacher, has arrived to the emergency room with complaints of acute onset dyspnea, labored breathing, and chest pain without radiation. Upon assessment, she is anxious, cyanotic, and becoming increasingly confused when she starts producing bloody sputum. Vital signs are as follows: HR 119, BP 88/40, and oxygen saturations are 80% on room air.  Based upon this clinical picture, the nurse suspects which of the following medical diagnoses?

Identify the rhythm. You may assume the strip is six seconds in length.

A nurse is assessing the moral development of an 8-year-old child. The child states, “I told the truth because I didn’t want to get in trouble. If I lie, I’ll be punished.” Based on Kohlberg’s theory of moral development, which stage is the child demonstrating?

When assessing breath sounds on a client who has left ventricular failure, the nurse would anticipate which of the following?

A patient who was involuntarily admitted asks the nurse, “Can I still have visitors?” Which response is appropriate?

A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the teaching? 

What is a distinguishing characteristic of functional scoliosis compared to structural scoliosis?

Compared to the nervous system, the endocrine system’s hormonal responses:

What is the term for inflammation occurring specifically where tendons and ligaments insert into bone, which is a hallmark lesion of spondyloarthropathies?