Which nursing intervention would be the highest priority in evaluating a patient with peritonitis from a ruptured appendix?
a. Assessment of severity, location, and duration of pain
b. Assessment of vital signs
c. Preventing wound infection
d. Promoting balanced nutrition
A
First priority is pain management. Assessment of vital signs, preventing wound infection, and promoting balanced nutrition are not the highest priority.
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A client who has been using a "spray product" to reduce appetite as a method to lose weight is disappointed after gaining two lbs. over the last week. Which action should the nurse take with this client?
a. Encourage to stick with the spray product b. Suggest getting a refund for the cost of the product c. Provide scientific information about appetite control d. Remind that there is no such thing as a quick fix for weight loss
Which of the following client outcomes would indicate that interventions provided to a client in the manic phase of bipolar disorder has improved self-care activities?
1. The client brushes own teeth every time when reminded. 2. The client washes hands after using the toilet. 3. The client completed morning bath and changed clothes. 4. The client cleaned liquid spilled on floor but did not change clothes.
A client with end-stage renal disease has appointed his son to make decisions in the event that he is not able to. The nurse understands that the client is displaying autonomy in using which type of advance care planning?
A) Dying declaration exception to hearsay B) Living will C) Health care proxy D) Durable health care power of attorney
A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia (IDA). What question by the professional is most appropriate to assess for the cause of IDA?
a. “How many times a week do you have iron-rich foods?” b. “Have you ever noticed any blood in your stool?” c. “Do you have a history of heart valve replacement?” d. “Have you had any recent viral infections?”