The concept of "knowing" the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions. To know a patient means that the nurse (Select all that apply.)
a. Avoids assumptions.
b. Focuses on the patient.
c. Engages in a caring relationship.
d. Forms the relationship quickly.
A, B, C
To know a patient means that the nurse avoids assumptions, focuses on the patient, and engages in a caring relationship with the patient that reveals information and cues that facilitate critical thinking and clinical judgments. Knowing develops over time as a nurse learns the clinical conditions within a specialty and the behaviors and physiological responses of patients.
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The nurse is auscultating a patient's heart sounds. What best describes a normal finding?
A) S2 is heard best at the second intercostal space to the right of the sternum. B) S2 is heard equally at all areas across the precordium and apex. C) S1 usually disappears after 25 to 35 years of age. D) S3 is caused by retrograde blood flow though an incompetent valve.
When handling a syringe, where will the nurse maintain sterility when administering a parenteral medication to a client? Select all that apply
1. Outside of the tip 2. Inside of the tip 3. Outside of the barrel 4. Inside of the barrel 5. Tip of the plunger
Treatment options in cluster headaches include the use of
A. Triptans B. NSAIDS C. Oxygen D. All of the above
The nurse is performing an admission assessment for a non-English speaking patient who is from China. Which actions could the nurse take to enhance communication (select all that apply)?
a. Use an electronic translation application. b. Use a telephone-based medical interpreter. c. Wait until an agency interpreter is available. d. Ask the patient's teenage daughter to interpret. e. Use exaggerated gestures to convey information.