A patient is experiencing sinus tenderness associated with a head cold. What techniques should the nurse use to assess this patient's symptom? (Select all that apply.)
A) Press up on the frontal sinuses from under the bony brows.
B) Press down on the head.
C) Press up on the area next to the ear.
D) Press up on the maxillary sinuses.
E) Press down on the lower jaw.
A, D
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The nurse has several choices of wound dressing. The most appropriate dressing to use to cover, soothe, and protect a wound without exudate is:
1. Transparent adhesive film. 2. An impregnated nonadherent dressing. 3. Hydrogel. 4. Polyurethane foam.
A patient has a tracheal deviation toward the affected side that can be caused by
a. pleural effusion. c. enlarged thyroid. b. tension pneumothorax. d. atelectasis.
It is crucial for the nurse to be able to make sound decisions using critical thinking because
a. it is the most efficient use of the nurse's time and resources. b. it uses previously learned knowledge in predictable situations. c. most clients have problems for which there are no textbook answers. d. nurses can recognize problems rapidly and provide speedy responses to situations.
A nurse is with an adolescent client who tells the nurse that she has nothing to live for and she just wishes she was dead. Which nursing action should take priority?
A) Going to the client's psychiatrist to tell him of the girl's suicidal ideation B) Staying with the client and exploring more of her thoughts about suicide C) Putting the client in seclusion with a staff assigned to watch her at all times D) Ascertaining the client's beliefs about what happens when you die