At the conclusion of a health history and physical assessment, the nurse determines that a patient might benefit from genetic testing. What did the nurse assess to come to this conclusion? Select all that apply.
A. Menopause at age 32
B. Seizure disorder
C. Cousin addicted to heroin
D. Infertility
E. Neighbor committed suicide
Answer: D
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A nurse assesses a client who is experiencing an absence seizure. For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Intermittent rigidity b. Lip smacking c. Sudden loss of muscle tone d. Brief jerking of the extremities e. Picking at clothing f. Patting of the hand on the leg
A patient admitted to the emergency department following chest trauma has tracheal deviation to the left. The nurse would prepare for which emergency medical intervention?
1. Open thoracotomy 2. Placement of a chest tube 3. Open excision of the pericardial sac 4. Immediate cardiopulmonary resuscitation
Which of the following would the nurse consider appropriate delegation?
A) The CNA asks another CNA to remove the Foley catheter of a postoperative client. B) The LPN/LVN delegates vital signs for a client receiving a blood transfusion to the CNA. C) The RN asks the LPN/LVN to obtain vital signs and perform an assessment of the client immediately following a seizure. D) The LPN/LVN delegates to the unlicensed assistive personnel the task of recording intake and output for a postoperative client.
When teaching a high school boys' health class, which information about latex condoms is most important for the nurse to include?
a. Use petroleum jelly as a lubricant. b. Leave room at the condom tip for a reser-voir for semen. c. Discard condoms after three uses. d. Apply the condom immediately before ejaculation.