While conducting an admission interview, the nurse questions the patient about pain. The patient responds, "No. I'm pretty wobbly." Which action should the nurse take next?
a. Repeat the question about pain.
b. Ask the patient to clarify his meaning.
c. Record that the patient denied pain.
d. Record that the patient stated he was wobbly.
B
The nurse should ask for clarification if unsure of what is meant by one of the patient's res-ponses.
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While instructing a patient with ascites on dietary modification, the nurse will discuss the patient's need to restrict:
A) Potassium B) Sodium C) Calcium D) Glucose
When interviewing an elderly patient, all of the following techniques will be helpful, EXCEPT
a. allowing extra time for the interview. b. scheduling more than one interview. c. speaking loudly and slowly. d. interviewing a family member or caregiver as well as the patient.
The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the client's assessment?
a. "Have you noticed that it is easier for you to breathe now?" b. "Would you like to hear the baby's heartbeat for the first time?" c. "Have you felt a fluttering sensation in your lower pelvic area yet?" d. "Have you recently developed any unusual cravings, such as for chalk or dirt?"
A nurse is caring for four clients. Which clients should the nurse recognize as being at risk for suicide? Select all that apply
A) A 65-year-old newly retired man with severe insomnia B) A 25-year-old married woman with adjustment disorder C) An 18-year-old man who is struggling to acknowledge his homosexuality D) A 48-year-old schizophrenic who hears command hallucinations to harm himself