Essential parts of a health history include all of the following except:
A. Chief complaint
B. History of the present illness
C. Current vital signs
D. All of the above are essential history components
ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the health history.
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The nurse is caring for a patient who was brought into the emergency department after an explosion at a nuclear power plant. The patient is confused and keeps repeating that his skin is "on fire." What does this information indicate to the nurse?
1. The patient may not recover. 2. The patient's clothing is burning his skin. 3. There is gastrointestinal system involvement and the patient will survive if he receives fluids. 4. There is bone marrow damage and the patient needs oxygen for the confusion.
A patient is recovering from a sigmoidoscopy with removal of a benign polyp. What should the nurse include in this patient's discharge instructions?
1. Contact the primary healthcare provider if experiencing large amounts of flatus. 2. Avoid heavy lifting for 2 weeks after procedure. 3. Report abdominal pain, fever, or chills. 4. Beginning the evening after the procedure, eat foods high in fiber.
A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:
a. a survey. b. quasi-experimental. c. a needs assessment method. d. a pilot study.
The client asked the nurse why fexofenadine and pseudoephedrine is useful for treating many allergic conditions. The nurse best response would be:
a. "Because it contains two antihistamines with different side effects." b. "Because it contains two decongestants with different side effects." c. "Because it contains an antihistamine and a decongestant." d. "Because it can be safely used in persons with hypertension."