Which of the following would be considered essential data to gather upon first admitting a client to the nursing unit?
1. Allergies
2. Occupation
3. Food preferences
4. Previous experience with hospitalization
1
Rationale 1: While all of this information can improve client care, the most urgent information to obtain about clients upon admission to the unit is their allergies, because exposure to an allergen, whether medication, food, or other substance, could negatively impact client outcomes.
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a. heart b. kidney c. respiratory d. liver
Fetal gas exchange is mediated by the:
a. lungs. b. heart. c. amniotic fluid. d. placenta.
Which does the nurse use to evaluate proper technique for a tuberculin skin test after injection the solution?
1. The nurse palpates a deep, firm pocket of the test solution. 2. The nurse observes a nearly clear bubble slightly under the skin. 3. A small trickle of blood appears at puncture site within minutes. 4. A 2-cm pink flattened area develops at injection site within 1 hour.
A 19-year-old student comes to the student health center at the end of the semester complaining that, "My heart is skipping beats." An electrocardiogram (ECG) shows occasional premature ventricular contractions (PVCs)
What action should the nurse take next? a. Start supplemental O2 at 2 to 3 L/min via nasal cannula. b. Ask the patient about current stress level and caffeine use. c. Ask the patient about any history of coronary artery disease. d. Have the patient taken to the hospital emergency department (ED).