The nurse is gathering a complete history of the patient's present illness. The nurse knows that the most appropriate way to begin to gather this information is what?
A) Assessing the patient's vital signs
B) Gathering a complete list of the patient's medications
C) Asking open-ended questions
D) Asking focused questions
C
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A 22-year-old female is diagnosed with mycobacterial tuberculosis. The physician orders rifampin (Rifadin) 600 mg PO daily. What should the nurse question the patient about?
A) Her diet B) Sun exposure C) Type of exercise she does D) Use of contact lenses
A gerontological nurse teaches a new nurse about older adults and pneumonia. Which of the following teaching points for the new nurse is most accurate?
A) "The presence or absence of pleuritic pain can help differentiate between pneumonia and cardiac problems.". B) "Pneumococcal vaccine can significantly reduce the length and severity of pneumonia if given shortly after diagnosis.". C) "The cardinal signs of a new onset of pneumonia are chest pain, fever above 100°F, and a productive cough.". D) "Pneumonia can often be prevented, but numerous age-related factors conspire to make older adults susceptible to it.".
A 61-year-old man is being admitted for bariatric surgery. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Demonstrate use of the incentive spirometer. b. Plan methods for bathing and turning the patient. c. Assist with IV insertion by holding adipose tissue out of the way. d. Develop strategies to provide privacy and decrease embarrassment.
A neonate is born to a diabetic mother. The baby is very large, weighing 10 lb. The nurse plans care of the neonate accordingly. Nursing care will include:
a. Holding feedings to help reduce blood glucose b. Monitoring blood glucose levels carefully c. Checking vital signs each shift d. None of the above