A school-age child is brought to the clinic after experiencing a nosebleed during a soccer practice. During the health history, which of the following is the most appropriate question for the nurse to ask the client?
a. "Do you use nasal sprays?"
b. "Do you snore or experience breathing difficulties during sleep?"
c. "Have you ever experienced nosebleeds before?"
d. "Are you allergic to anything?"
C
Exploring past history with the client is most helpful in determining the nature of the nasal con-dition.
Overuse of over-the-counter nasal sprays can cause damage to nasal mucosa and then original symptoms can recur (rebound).
Snoring and breathing difficulties may be caused by nasal obstruction.
Allergies may cause nasal congestion, but do not cause nosebleeds.
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The parents of a 7-month-old infant, being seen at the clinic for the administration of a hepatitis B vaccine, ask if their baby can also be given a vaccine to prevent the chickenpox during this visit
Which response by the nurse is the most appropriate? 1. "It will be less stressful to administer both shots during this visit." 2. "The additional injection will make your child run a fever." 3. "You really should wait and come back next month for this immunization." 4. "This immunization is not offered until after the age of 12 months."
A patient expresses the desire to be cared for by others and often behaves in a helpless fashion. The patient's needs relate to which stage of psychosexual development?
a. Latency b. Phallic c. Anal d. Oral
Which of the following actions should a nurse take to ensure personal safety when engaging in home visits? (Select all that apply.)
a. Always sit between the client and the exit, and, when in doubt, leave the situation b. Be sure of the correct address and always have a GPS system c. Carry a cell phone and drive in a well-maintained car with a full gas tank d. Have enough money that you can buy your way out of trouble e. Only accept assignments within a few blocks of your own home f. Take self-protection courses such as karate and carry a weapon for your own defense
Conditions that produce acute kidney injury by directly acting on functioning kidney tissue are classified as intrarenal. The most common intrarenal condition is:
a. prolonged ischemia. b. exposure to nephrotoxic substances. c. acute tubular necrosis (ATN). d. hypotension for several hours.