A nurse discusses the risks of repeated sun exposure with a young adult patient. Which of these patient responses would be most expected from this patient?
a. "I'll make an appointment with my doctor right away for a full skin check."
b. "I should consider participating in a health fair about safe sun practices."
c. "I have a mole that has been bothering me. I'll call my family doctor for an appointment to get it checked."
d. "I've had this mole my whole life. So what if it changed color? My skin is fine."
ANS: D
Young adults often ignore physical symptoms and often postpone seeking health care. Making an appointment right away with the doctor and participating in health fairs are not typical behaviors of young adults for the same reason.
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The nurse is caring for a patient who has a history of heart disease. What factor should the nurse identify as possibly contributing to a decrease in cardiac output?
A) A change in position from standing to sitting B) A heart rate of 54 bpm C) A pulse oximetry reading of 94% D) An increase in preload related to ambulation
An older patient with mild Alzheimer's disease abruptly stops taking the prescribed medication donepezil (Aricept). On which area should the nurse focus when assessing this patient?
1. Reflexes 2. Rest and sleep 3. Cognitive function 4. Cardiovascular function
A nurse preparing to give medications to clients in the emergency department avoids making medication errors by following drug administration rights. Which "rights" did the nurse use?
1. Evaluating the client following drug administration. 2. Assessing the client prior to administering any drug. 3. Documenting all medications immediately following administration. 4. Educating the client regarding medications. 5. Administering prescribed medication even if the client refuses it.
A client is maintained on warfarin (Coumadin) therapy secondary to refractory atrial fibrillation. Which statement by the client would alert the nurse to a possible problem with this therapy?
1. "I have started taking a vitamin C supplement to prevent colds this winter." 2. "I am learning to use olive oil in my cooking." 3. "I've stopped drinking coffee and now drink decaffeinated green tea." 4. "I have a big glass of grapefruit juice with my breakfast every day."