A male client reports to the clinic with an open area on his penis. Which of the following questions will be most important to include in the data collection?
1. "Have you had sexual intercourse recently?"
2. "Do you think you have a disease?"
3. "Are you promiscuous?"
4. "When did you initially notice this open area?"
4. "When did you initially notice this open area?"
Rationale:
It will be important to record the onset of the open area. The remaining questions are closed, and will not elicit much information. Asking the client about promiscuity is judgmental. Determining the date of the last episode of sexual intercourse might be indicated later if a disease is diagnosed.
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During the bath, the client suddenly says, "I am not going to get well. I think I am going to die." What response by the nurse is most appropriate?
A) "You are doing so well, don't talk like that." B) "What makes you think you are dying?" C) "Let's think of something more cheerful." D) "Whatever is meant to be will happen."
A nursing student is asked by her instructor what hydrostatic pressure is. Which response by the student best defines hydrostatic pressure:
a. "It is the amount of pressure necessary to move particles and fluids in and out of vascular volume." b. "It is the force water places against the vessel walls or capillary membranes." c. "It is the measure of solute particles in the vascular system." d. "It is the amount of pressure necessary to diffuse particles in the vascular volume."
The nurse is completing a newborn care class. The nurse knows that teaching has been effective if a new parent states which of the following?
1. "My baby might open her arms wide and pull her legs up to her tummy if she is passing gas." 2. "When I hold my baby upright with one of his feet on the floor, his feet will automatically remain still. 3. "When I put my finger in the palm of my daughter's hand, she will curl her fingers and hold on." 4. "I can get my baby to turn his head toward the right if I lift his right arm over his head."
A nurse organizes client data using the SOAP format. Which of the following would be recorded under "S" of this acronym?
A) Client complaints of pain B) Client history C) Client's chief complaint D) Client interventions