The nurse is caring for a client with pre-eclampsia, and is performing an assessment of deep tendon reflexes and clonus. The client's results demonstrate normal reflexes. The nurse would document these findings as:
A) 1+. B) 2+. C) 4+. D) 3+.
Question 2
The nurse would consider which of the following clients at greatest risk for hemolytic disease?
A) The mother has Rh-negative blood and the baby has Rh-positive blood. B) The mother and baby both have Rh-positive blood. C) The mother and baby have Rh-negative blood. D) The mother has Rh-positive blood and the baby has Rh-negative blood.
The nurse assesses the patient's ability to use the walker correctly
Patient teaching: nail assessment
Performing a Gram Stain
Performing a Microhematocrit
Giger and Davidhizar’s Transcultural Assessment Model.
Wrist in neutral position while performing effleurage.