A student nurse asks the instructor why it is necessary to do a comprehensive health assessment on a new patient. What would be the instructor's best response?
A) "A new patient needs a more complete assessment."
B) "It is a better assessment than any other assessment."
C) "The comprehensive health assessment integrates all body systems and helps give the nurse an overall impression of the patient and his or her condition."
D) "You need to know what is going on with the patient at that point in time."
C
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The nurse is caring for a 9-year-old boy who is having chemotherapy. Which of the following is least important as a dietary strategy?
A) Emphasizing grains, fruits, and vegetables B) Including high-fiber foods if opioids are being taken C) Concentrating on high-calorie shakes and puddings D) Avoiding milk products if diarrhea is a problem
The nurse is caring for a client in traction that is immobile. What measures can the nurse provide to prevent further injury and potential infection and promote circulation to the area?
A) Massage bony prominences subject to pressure unless red when pressure relieved. B) Massage all reddened bony prominences to increase the circulation to the area. C) Rub alcohol into the skin three times a day to make the skin tougher and less prone to breakdown. D) Administer protein supplements to the client to avoid the breakdown associated with malnourishment.
The mother of a 16-year-old female is concerned that even though the teen began menstruating at age 14, her menses stopped around 6 months ago. How should the nurse respond to the mother?
1. "That's normal for a 16-year-old. That happened to me when I was 16." 2. "Have you considered pregnancy?" 3. "It's probably psychological." 4. "Have you noticed any weight loss or changes in her diet and activity level?"
A patient with cardiomyopathy is demonstrating signs of cardiogenic shock. The nurse realizes that this type of shock is due to:
1. Reduced cardiac output 2. Increased stroke volume 3. Reduced blood volume 4. Blood flow blocked in the pulmonary circulation