A nurse is performing a complete oral exam on an elderly coherent cooperative client in the hospital. The nurse
A) includes palpation of the head and neck lymph nodes and assesses for tenderness and enlargement.
B) does not need to wear gloves while examining the tongue including the posterior surface.
C) assures the client not to be concerned with white patches that occur on the surface of the oral mucosa.
D) knows that halitosis is considered normal.
A
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After the home health nurse has read a referral from the hospital for a patient who needs a home visit, she should:
A) Identify community services to initiate for the patient. B) Obtain a physician's order for the visit. C) Call the patient to obtain permission to visit. D) Schedule a home health aide to visit the patient.
Which outcome is most necessary for a patient diagnosed with renal calculi?
a. Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief. b. Patient will measure intake and output so that they will be approximately equal. c. Patient will avoid infections and situations that would increase stress. d. Patient is able to describe measures to prevent recurrence of calculi.
A White nurse from the United States is assigned to care for a Vietnamese woman who speaks little English who had a baby 2 months ago and is 1 day postoperative after fibroid removal
The nurse knows that traditional Vietnamese women will avoid drinking or eating "sour" foods such as lime Jell-O or other citrus types of liquids after surgery. She confirms her patient's values and beliefs. The nurse is exhibiting characteristics of ____. a. Cultural competence b. Ethnic sensitivity c. Stereotyping d. Nonjudgmental behavior
The use of "twilight sleep" during the labor and birth process:
a. provided inadequate pain relief during the labor and birth process. b. facilitated bonding between mother and infant. c. resulted in a decreased incidence of puerperal infections. d. affected the maternal level of consciousness.