The nurse is collecting data for a patient who is reporting pain in the left wrist. What question would address the region of the pain?
a. "Where is the pain?"
b. "Does the pain move?"
c. "Is the pain mild?"
d. "How does the pain feel?"
ANS: A
A is for location of the pain. B is for radiation of pain. C is for determining the severity, using a rating scale. D is for the quality of the pain.
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The nursing student is taking blood pressures at a health-screening fair in the local mall. A 26-year-old woman who is seven months pregnant has a blood pressure reading of 146/99. Which of the following actions does the nursing student take?
1. Tell the client that she has a normal blood pressure. 2. Call 911 for an ambulance because the blood pressure is dangerously high. 3. Advise the client to notify her physician immediately of the results. 4. Advise the woman to go home, rest, and put her feet up.
The client with chronic obstructive pulmonary disease (COPD) has had a sample for a serum theophylline level drawn as part of routine follow-up care
Which of the following results would lead the nurse to conclude that the client has most likely been compliant with medication thera-py? 1. 3 mcg/mL 2. 7 mcg/mL 3. 14 mcg/mL 4. 24 mcg/mL
The nurse is assessing a patient for adverse effects of long-term glucocorticoid therapy. Which condition would most likely be present?
a. Dehydration b. Hypotension c. Osteoporosis d. Thrombocytopenia
A patient is admitted from the emergency department. The nurse notices that the patient and family are anxious. During the admission process the nurse should do which of the following? Select all that apply
A. Stereotype the patient concerning his or her admission diagnosis. B. Disregard racial differences in the physical qualities of the patient. C. Provide a thorough explanation of the purpose of each assessment. D. Provide a thorough explanation of the steps of each assessment. E. Continue to ask questions, even if the interview obviously makes the patient and family members uncomfortable.