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The client has an elevated temperature. Which statement is the most clinically appropriate for the nurse to use
when documenting this finding in the medical record?
Correct Answer: 2
Rationale 1: The client is febrile. The client has a fever, hyperpyrexia, and hyperthermia.
Rationale 2: The client is febrile. The client has a fever, hyperpyrexia, and hyperthermia.
Rationale 3: The client is febrile. The client has a fever, hyperpyrexia, and hyperthermia.
Rationale 4: The client is febrile. The client has a fever, hyperpyrexia, and hyperthermia.
Global Rationale: The client is febrile. The client has a fever, hyperpyrexia, and hyperthermia.
Question 2
Type: MCSA
The nurse assesses the client in respiratory distress and notes that the client has see-saw respirations with the chest
and abdomen alternately rising, blue discoloration of the fingertips, and noisy difficult respirations. How would
the nurse describe the client's condition when calling the health care provider?
Correct Answer: 3
Rationale 1: The use of the abdominal muscles for respiration indicates diaphragmatic breathing. The difficult
respirations would be described as dyspnea, and the blue discoloration of the fingertips is cyanosis. The client's
respiratory rate is unknown, so she cannot be described as tachypneic. Bradycardia is a slow heart rate, and the
client's pulse is unknown.
Rationale 2: The use of the abdominal muscles for respiration indicates diaphragmatic breathing. The difficult
respirations would be described as dyspnea, and the blue discoloration of the fingertips is cyanosis. The client's
respiratory rate is unknown, so she cannot be described as tachypneic. Bradycardia is a slow heart rate, and the
client's pulse is unknown.
Rationale 3: The use of the abdominal muscles for respiration indicates diaphragmatic breathing. The difficult
respirations would be described as dyspnea, and the blue discoloration of the fingertips is cyanosis. The client's
respiratory rate is unknown, so she cannot be described as tachypneic. Bradycardia is a slow heart rate, and the
client's pulse is unknown.
Rationale 4: The use of the abdominal muscles for respiration indicates diaphragmatic breathing. The difficult
respirations would be described as dyspnea, and the blue discoloration of the fingertips is cyanosis. The client's
respiratory rate is unknown, so she cannot be described as tachypneic. Bradycardia is a slow heart rate, and the
client's pulse is unknown.
Global Rationale: The use of the abdominal muscles for respiration indicates diaphragmatic breathing. The
difficult respirations would be described as dyspnea, and the blue discoloration of the fingertips is cyanosis. The
client's respiratory rate is unknown, so she cannot be described as tachypneic. Bradycardia is a slow heart rate,
and the client's pulse is unknown.
Question 3
Berman/Snyder, Test Bank for Skills in Clinical Nursing 8th Edition
Copyright 2016 by Pearson Education, Inc.
Type: MCSA
The nurse is informed during shift report that the assigned client has a wide pulse pressure, is hypertensive, and
has a pulse deficit. When the nurse enters the client's room, which assessments would the nurse perform in order
to confirm this report?
Correct Answer: 4
Rationale 1: In order to assess a pulse deficit, defined as a discrepancy between the apical and radial pulse rate,
the nurse must perform an apical–radial pulse assessment. Wide pulse pressure and hypertension would be
assessed by measuring blood pressure.
Rationale 2: In order to assess a pulse deficit, defined as a discrepancy between the apical and radial pulse rate,
the nurse must perform an apical–radial pulse assessment. Wide pulse pressure and hypertension would be
assessed by measuring blood pressure.
Rationale 3: In order to assess a pulse deficit, defined as a discrepancy between the apical and radial pulse rate,
the nurse must perform an apical–radial pulse assessment. Wide pulse pressure and hypertension would be
assessed by measuring blood pressure.
Rationale 4: In order to assess a pulse deficit, defined as a discrepancy between the apical and radial pulse rate,
the nurse must perform an apical–radial pulse assessment. Wide pulse pressure and hypertension would be
assessed by measuring blood pressure.
Global Rationale: In order to assess a pulse deficit, defined as a discrepancy between the apical and radial pulse
rate, the nurse must perform an apical–radial pulse assessment. Wide pulse pressure and hypertension would be
assessed by measuring blood pressure.
Question 4
Berman/Snyder, Test Bank for Skills in Clinical Nursing 8th Edition
Copyright 2016 by Pearson Education, Inc.
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He knows what sore temptations mean,
III.
IV.
This is, and shall be, honoured Madam, my daily prayer on your behalf.
Fear not; our L will take care that all shall work for good. Those who
are sincere, will soon get over such stumbling blocks; and those that are
not, will stumble at any thing, nay every thing. I bless G , that some
have got their faces set Zion-wards. Of the honourable women, ere long,
I trust, there will be not a few who will dare to be singularly good, and
confess the blessed J before men. O with what a holy contempt may
the poor despised believer look down on those, who are yet immersed in
the pleasures of sense, and amidst all the refinements of their unassisted,
unenlightened reason, continue slaves to their own lusts and passions.
Happy, thrice happy they! who begin to feel and experience what it is to
be redeemed from this present evil world. Well may they count all things
but dung and dross for the excellency of the knowledge of C J
their Lord. Well may they look upon the few righteous, as the only truly
excellent ones of the earth; and choose rather to suffer affliction with the
people of G , than enjoy the pleasures of sin for a season. You,
honoured Madam, I trust, are one of this happy number. May all your
children add to it, and follow your Ladyship, as they see you follow
C . I hope that some have been inclined to list under his banner,
since I left town. Indeed the glorious Redeemer has dealt bountifully
with his people, and with unworthy me. The good Lady H――n, I
suppose, hath informed your Ladyship of some pleasing particulars. I
hope to acquaint you of more at my return to town. In the mean while, I
beg leave to subscribe myself, honoured Madam,
G. W.
LETTER DCCXXXVII.
To the Countess of D――.
Honoured Madam,
And O that your honoured sister may go hand in hand with your
Ladyship! Wherefore doth she doubt? Wherefore doth she fear? Why
does not her Ladyship say,
Incarnate G , I fly;
Honoured Madam, is it not a fountain opened? Opened for all that will
come, and wash at, and drink of it? Entreat her Ladyship, therefore,
honoured Madam, not to be faithless, but believing. Beg her to come, or
rather be pleased to inform her Ladyship, that her Saviour entreats and
commands her to come just as she is, and to accept of salvation as a free-
gift. O that with Queen Esther she may say, “If I perish, I perish.” Then
shall she see the King of kings holding out a golden sceptre, and not an
iron rod. But I forget myself again. Honoured Madam, be pleased to
pardon me, and accept what I have written as the overflowings of a heart
that hath been wrestling with G , for the salvation of your Ladyship,
your honoured sister, and of all related to you. This is the best proof I can
give of my being, honoured Madam,
G. W.
LETTER DCCXXXVIII.
To the Countess of H――n.
Honoured Madam,
I hope this will find your Ladyship quite happy under the shadow of
redeeming love. I wish your Ladyship an increase of that happiness
every moment, as being, honoured Madam,
G. W.
LETTER DCCXXXIX.
To Mr. C――.
G. W.
LETTER DCCXL.
To Mr. S――.
I
unanswered; but journeying, preaching, and a multiplicity of other
business has prevented me. I shall not carry on the debate; only I
must thank you for receiving my letter in so friendly a manner, and
entreat you, though a host of enemies are behind, and a whole sea of
troubles before you, to go forwards. That was the command the great
J gave to his servant Moses, when under very pressing
circumstances, so that he knew not what to do. The L ’s impressing
and affecting persons under your exhortation, is a token for good. It is
good to be led on step by step into whatever plan providence intends to
call us. “He that believeth doth not make haste.” Our business is to
follow, and improve the light we have, and that is the way to get more.
You know who hath said, “to him that hath shall be given, and he shall
have more abundance.” May this promise be fulfilled in your heart! But
why does my friend write so about assurance, or think he is too sinful to
expect such a favour? Have you learnt C no better yet? Who more
sinful than Paul or the jaylor, Zaccheus or Magdalene? and who more
assured of their salvation? My dear Mr. S――, do not think so hardly of
the glorious Redeemer. Draw near to him with boldness, though the
greatest of sinners, and urge that as an argument, why he should give you
the greatest and most abiding assurance of his everlasting love. This is
the only argument I can use in respect to my own soul. Fear not, dear Sir,
though clouds return after the rain; ere long I trust the glorious and ever-
blessed spirit will not, as to his comforts, be like a way-faring man,
tarrying only for a night, but come and make a continued abode in your
heart. The language of my soul for you is, “Come L J , come
quickly!” May I expect an answer to this in London. Thither I am now
going from the west, where I have been for about a month, and through
grace have seen that the seed sown just before my embarking last for
America, has sprung up and produced fruit unto G . To him be all the
glory. The impressions made upon some of the great ones do remain.
Good Lady H―― sends me good news. Be pleased to remember me as
usual to doctor D―― and Mr. H――, and believe me to be, very dear
Sir,
G. W.
LETTER DCCXLI.
To the Rev. Mr. H――.
I Am much obliged to you for your last kind letter. It was so agreeable,
that I sent it to good Lady H――. Her Ladyship writes me word “that
it was a letter after her own heart.” She loves a Catholic spirit, and I trust
you are not deceived in your thoughts concerning me in this respect. If I
know any thing of my desperately wicked and deceitful heart, I truly
love all that love the glorious Emmanuel, and though I cannot depart
from the principles which I believe are clearly revealed in the book of
G , yet I can chearfully associate with those that differ from me, if I
have reason to think they are united to our common head. This induced
me to call upon good Mr. L――, whose books many years ago were
blessed to my soul, when the work that is now spreading, was then only
in embryo. I am just come from the west, where I have had the pleasure
of seeing the seed sown just before I last embarked for America, sprung
up and bearing much fruit. All glory be to Him who alone giveth the
increase. I have also had two letters from some honourable women, who
I trust have received the grace of G in truth; and Lady H――n writes
me word, that “the prospect of doing good at my return to London is very
encouraging.” Thither I am now bound. I go with fear and trembling,
knowing how difficult it is to speak to the great, so as to win them to
J C . I sometimes am ready to say, “L , I pray thee have me
excused, and send by whom thou wilt send.” But divine grace is
sufficient for me. I can do all things through C strengthening me.
My dear brother, fail not to pray for me, that I may hold on and hold out
to the end, and in prosperity and adversity press forward with an even,
chearful, meek and lowly mind towards the mark, for the prize of our
high calling in C J . I am glad to hear that doctor S―― goes on
so well. I guess he will not be suffered long to halt. It is no matter how
soon all worldly shackles are knocked off, and persons set at liberty
(supposing they have a proper call) to range for G . I find there is no
hopes of compromising matters. Nobody can be ordained that is a
Methodist. Well! the time may come, when many of the priests also shall
be obedient to the word. They come last; but then many of them come
together. I know you will say, Amen! let me hear from you shortly again.
You shall have as quick returns as can be given you by, my dear brother,
G. W.
LETTER DCCXLII.
To Lady H――.
Honoured Madam,
H AVING been moving this week from place to place, I could not
write to your Ladyship as usual, and even now my body is so
fatigued, that I cannot say much. However, I would beg leave to inform
your Ladyship that the glorious Emmanuel continues to smile upon my
poor labours, and that about the middle of the week, by his leave, I
purpose waiting upon your Ladyship in North Audley-street. I doubt not
but I shall find your Ladyship riper for heaven, than when I left London.
There you will be always thronged with company, and yet free from the
least distraction. On earth it is otherwise. However, as we advance in the
divine life, we shall be more and more conformed to those ministring
spirits, who, though waiting on us below, do always behold the face of
our heavenly Father above. This divine lesson, honoured madam, G
has begun to teach you. May you daily make a proficiency therein, so
that your progress may be made known unto all men! I will follow as fast
as I can, though alas! with too slow a pace. I must now add no more, but
my usual prayers for your Ladyship’s temporal and eternal welfare, and
hasten to subscribe myself, honoured madam,
LETTER DCCXLIII.
To Mr. B――.
Dear Billy,
I Have just now heard, that a ship will sail for Philadelphia in a day or
two. I cannot therefore miss the opportunity of acknowledging the
receipt of your last kind letter. I am sorry it brought me such bad news
concerning the state of religion in your parts. My constant prayer for
you, and my other Philadelphia friends is this, “L , revive thy work
in the midst of the years.” Notwithstanding so wide a door is opened
here, and a prospect of doing much good lies before me, yet I have
settled thoughts of embarking for America in the fall. But future things
belong to G . His I am, and I desire to be entirely at his alwise
disposal. My wife is not yet arrived; I hear she is yet upon the water.
May the L J be her convoy! I am just returned from an excursion
of about six hundred miles in the west, where I had the pleasure of
seeing, that the seed sown before I embarked last for America, had been
blessed abundantly. Glory be to Him, who alone has given the increase.
The news you have had of my preaching to some great ones, is true; I
have done it for some time twice a week, and thanks be to the blessed
Redeemer, it has already produced good effects. Lady H―― is a mirror
of piety indeed. In time, I trust of the honourable women there will not
be a few, who dare to confess the L J before men. You must
remember me to all. I have scarce time to write this, so can only send
one general salutation. The L J be with all your spirits, Amen
and Amen! The bearer, Mr. H――, seems to be well recommended as an
honest man. He is an entire stranger to every body in America, and I
believe has a mind to settle in Philadelphia. I am desired to write a line
in his behalf. You will do what you can for him, because he is a stranger.
I could write much more, but am interrupted. Adieu, my dear man, for
the present. Pray keep near the ever-blessed Redeemer, and fail not to
pray for and write to
G. W.
LETTER DCCXLIV.
To Mr. S――.
I Wish you joy. I trust you may now say, “Now I begin to be a disciple
of J C .” You know who has commanded us to rejoice and
be exceeding glad when men separate from our company, and speak all
manner of evil against us falsely for his name’s sake. Thanks be to G ,
you have at length found out, that whosoever attempts to reconcile G
and the world, is attempting to reconcile two irreconcilable differences.
They are as opposite as light and darkness, heaven and hell. You have
nothing to do, but to go on doing, and then sing with an holy triumph,
You know he is faithful, who hath promised, “that he will never leave
nor forsake you.” Wait on him therefore, dear Sir, and you shall renew
your strength, nay you shall mount on wings like an eagle; you shall
walk and not be weary, you shall run and not be faint. Various are the
trials inward and outward that you will meet with. It is in the spiritual as
in the natural birth. The after-pangs are sometimes sharper than those
that precede the new-birth itself. If you are made use of by J C ,
no wonder that satan desires to have you, that he may sift you as wheat.
But fear not; J prays for you; your faith therefore shall not fail. How
was Paul humbled and struck down before he was sent forth to preach
the everlasting gospel? Prayer, temptation, and meditation, says Luther,
are necessary ingredients for a minister. If G teaches us humility, it
must be as Gideon taught the men of Succoth, by thorns. This I suppose
is what dear Mr. H―― means; he has been conversant with Mr. L――,
and writes much therefore in his way. I find he is for making thorough
work of it, and digging deep in order to build high. He is certainly right;
but why we should not press after and continually plead for assurance,
which is every where through the holy scriptures spoken of as the
common portion of G ’s children, I cannot yet see. It is a false humility
to be content without that which G offers and promises to give. Let
him give it in his own way and time; but, “L give me a full assurance
of faith, that I may joy and rejoice in thee evermore!” should be the
constant cry of your soul. My dear Sir, I could enlarge, but I must away
to our good Lady H――n’s. You must not expect to see her till August. I
preached at her Ladyship’s on Thursday, and am to do so weekly. I
expect to leave town in about a month. Pray let me see you if possible. A
new scene will open to you, now you begin to act publickly for C ;
but I must bid you farewel. Adieu. May the L J be with your
spirit! Write often, and you shall be answered, G willing, as speedy as
possible by, my very dear friend,
G. W.
LETTER DCCXLV.
To the Rev. Mr. G――.
My dear Brother,
W HAT a blessed thing it is, that we can write to, when we cannot
see one another! By this means we increase our joys, and lessen
our sorrows, and as it were exchange hearts. Thanks be to the L
J , that the work flourishes with you. I am glad your children grow so
fast; they become fathers soon; I wish some may not prove dwarfs at last.
A word to the wise is sufficient. I have always found awakening times
like spring times. Many blossoms, but not always so much fruit. But go
on, my dear man, and in the strength of the L you shall do valiantly. I
long to be your way, but I suppose it will be two months first. My love
awaits Mrs. H―― and all that love the L J in sincerity. Pray tell
my dear Mr. I―― that I cannot now answer the Preston letter, being
engaged in answering a virulent pamphlet, entitled, “The Enthusiasm of
the Methodists and Papists compared,” supposed to be done by the
Bishop of E――. Thus it must be. If we will be temple builders, we must
have temple builders lot; I mean, hold a sword in one hand and a trowel
in the other. The L make us faithful Nehemiahs, for we have many
Sanballats to deal with! but wherefore should we fear? If C be for
us, who can be against us? Nil desperandum, christo duce, is the
christian’s motto. My dear brother, good night. May the L J be
with your spirit, and make you wise to win souls, even wise as an angel
of G ! Remember me in the kindest manner to honest hearted Mr.
I――, and tell him, that in a post or two I hope he will hear again from
His and your most affectionate though unworthy brother and fellow-
labourer in C ’s vineyard,
G. W.
LETTER DCCXLVI.
To the Rev. Mr. W――.
Y
It was like yourself, like a father in C , to write to strengthen
the hands of one, who is not yet half your age, but I trust ready to
spend and be spent for the good of precious and immortal souls. I
see that you have heard how kind my enemies have been to me. They
have told me of my faults, and by their opposition have given me an
opportunity of confessing them. I am just now publishing a pamphlet, in
answer to one published against the Methodists, upon the title-page of
which I intend to have these words, “Out of the eater came forth meat.”
O how good, how infinitely wise is J C ! How careful to cause
all things to work together for good to those who love him. I have reason
to speak well of him, as a promise-keeping Saviour. I doubt not, but he
will greatly bless and own you in the latter stages of the road, and cause
you to go off like a ripe shock of corn. It will rejoice you to hear that
conviction work is going on in England and Wales. I believe the holy
spirit is powerfully working on some of the Rich, and the Poor seem
rather more eager than ever to hear the gospel. I am much engaged, so
that I have scarce time to see or write to any; but in heaven there will be
time enough, and but just enough too:
G. W.
LETTER DCCXLVII.
To the Rev. Mr. H――.
G. W.
LETTER DCCXLVIII.
To Lady H――n.
Honoured Madam,
G. W.
LETTER DCCXLIX.
To the Countess D――.
Honoured Madam,
G. W.
LETTER DCCL.
To Lady H――n.
Honoured Madam,
G. W.
LETTER DCCLI.
To the Rev. Mr. M――.