The nurse finds the client's thyroid gland is enlarged during the physical assessment. The client states that she has had a history of a goiter in the past. Which of the following questions is a priority to ask during the focused interview?
1. "Where do you purchase your medication?"
2. "What type of salt do you use in your diet?"
3. "Do you work around chemicals?"
4. "How long have you had this problem?"
2
Rationale 1: Although this question is important to gain general information, the nurse needs to assess whether the client is indeed using iodized salt, especially regarding the client's past history and present symptomatology.
Rationale 2: Thyroid disease is common where iodine is limited and deficient amounts of iodine can cause a goiter to develop. Use of iodized salt in the U.S. has generally eliminated iodine deficiencies.
Rationale 3: Although this question is important to gain general information, the nurse needs to assess whether the client is indeed using iodized salt, especially regarding the client's past history and present symptomatology.
Rationale 4: Although this question is important to gain general information, the nurse needs to assess whether the client is indeed using iodized salt, especially regarding the client's past history and present symptomatology.
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A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg. What will the nurse do?
a. Instruct the patient to consume a low-sodium diet. b. Prepare the patient for an electrocardiogram and blood tests. c. Recheck the patient's blood pressure in the other arm. d. Request an order for a thiazide diuretic.
A person who is more future-oriented would be most likely to:
1. have difficulty dealing with chronic illness for which a complete cure is not known. 2. stay future-oriented throughout the life span. 3. have trouble dealing with present difficulties and inconveniences of illness. 4. comply with a treatment regimen that has uncertain benefits.
Which comment is appropriate for the nurse to make during the introduction stage of the assessment interview?
a. "It is almost time for me to leave. Do you have any questions for me?" b. "Describe your pain." c. "I need to ask you a few questions about your health so we can better plan your care." d. "Describe the number and characteristics of your bowel movements."
The practical/vocational nursing student is assigned the task of helping a new mother and father learn to bathe their newborn. The instructor asks the student how the session went, and the student replies, "The mother seemed to understand everything
She smiled and nodded at everything I told her. The father watched and didn't ask any questions." The instructor comments, "Without validation, you can't be sure." Which statements contributed to the instructor's knowledge on which to base the comment to the student? (Select all that apply.) a. Women nod to show that they are listening. b. Men ask fewer questions than women. c. Women smile to establish rapport. d. Nonverbal communication is a good indicator of understanding.