When performing a head-to-toe assessment, the nurse should begin by assessing the patient's:
a. support system.
b. skin integrity.
c. pain level.
d. neurological status.
D
When performing a head-to-toe assessment, the nurse begins with a neurological assessment, then assesses the skin, hair, head, and neck, including the eyes, ears, nose, and mouth. The chest, back, arms, abdomen, perineal area, legs, and feet are examined in that order.
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An older man comes to the emergency department after falling at home, and he reports that he cannot walk without losing his balance. Which steps should the nurse implement for this patient?
a. Arrange to transfer him immediately to the radiology department. b. Determine symptom onset or when he fell at home. c. Organize the reperfusion tissue plasmino-gen activator (tPA) infusion. d. Perform a comprehensive neurologic as-sessment.
An abnormal emotional state characterized by feelings of sadness, despair, and discouragement describes
a. dementia. c. delirium. b. depression. d. acute confusion.
Nutritional awareness is one component of health promotion. What does nutritional awareness involve?
A) An understanding of the importance of a healthy diet B) Being aware of the importance of vitamin supplements C) Knowing what minerals are necessary to eat daily D) Understanding what constitutes the recommended daily nutrients
A 39-year-old female patient comes to the clinic for a pelvic exam and Pap smear. She reports that her partner is infected with condyloma acuminata. In her history, she always has her partner use a condom
The external genitalia, vagina, and cervix appear normal on pelvic exam, but the Pap smear shows dysplasia. The patient is worried that she could be infected with HPV. The clinician should: A. Assure the patient that safe sexual practices protect against HPV infection B. Explain that there is no condyloma present, so HPV infection is improbable C. Explain that HPV infection can be transmitted in the presence of barrier contraception D. Teach the patient about hysterectomy since she has cervical cancer