NURS 320 : Nursing Care of Adults (NURS 320)

1. An 85-year-old man has come in for a physical examination, and the nurse notices that he uses a cane. When documenting general appearance, the nurse should document this information under the section that covers: a. Posture. b. Mobility. c. Mood and affect. d. Physical deformity. ANS: B Use of assistive devices would be documented under the mobility section. The other responses are all other categories of the general appearance section of the health history. DIF: Cognitive Level: Reme...

A client had an open transverse colectomy 5 days ago. The nurse enters the client’s room and recognizes that the wound has eviscerated. After covering the wound with a sterile, saline-soaked dressing, which of the following actions should the nurse take? Go to the nurses’ station to seek assistance. Reinsert the organs into the abdominal cavity. Place the client in reverse Trendelenburg position. Obtain vital signs to assess for shockA nurse is caring for a client who is postoperative and ha...