A patient is being admitted after a fall that has caused a painful leg injury. In preparing to interview the patient for a health history, the nurse is initially concerned that
a. the family should be present to help an-swer questions.
b. a therapeutic nurse-patient relationship should be established.
c. the patient should be free of hearing and vision barriers.
d. the patient's pain should be effectively managed.
D
The acute pain the patient is experiencing will have the greatest impact on the success of the health assessment interview and must be removed as a barrier for the assessment to be successful. The other factors are important too, although depending on the cognitive status of the patient, the family may or may not need to be present.
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The nurse is part of a planning committee developing a disaster response plan for a hospital that serves as the major trauma center for the local area
The committee has identified that the most likely cause of a disaster in the community is a devastating tornado that significantly damages most major structures, including hospitals of all sizes, in the community. What component of the plan is least likely to be realistic? A) Transfer all noncritical patients to smaller hospitals in the community. B) Provide for secure storage of emergency supplies and equipment. C) Agree with other hospitals in town to share supplies and equipment. D) Interface with the city disaster management plan and command center.
A 60-year-old man has been diagnosed with renal calculi after repeated episodes of excruciating flank pain in recent weeks
The man states that, "I don't know how this could happen to me, since I'm so careful about eating a healthy diet." What is the most appropriate response to the man's statement? A) "Your diet may have played a part in this, but in fact, genetics are likely primarily to blame." B) "What you eat can influence your risk of stone formation, but many other factors like hormones and your metabolism are involved." C) "You likely don't need to change your diet, but now that you have stones in one kidney, you're at very high risk of growing them in the other kidney." D) "Your diet might be normally healthy, but high intake of normally beneficial minerals like calcium and magnesium can lead to stones."
The nursing student in the perinatal clinic asks the registered nurse why so many pregnant women seem to be stressed despite their "happy" condition. What response by the nurse is best?
A. "It's the effect of all those hormones." B. "Many are afraid of labor and birth." C. "Most pregnant women don't feel well." D. "Pregnancy is a developmental crisis."
The nurse is providing discharge instructions to a client prescribed an opioid medication. What should the nurse suggest to decrease the risk of constipation with this medication?
1. Take an antihistamine three times per day. 2. Drink 6 to 8 glasses of water per day. 3. Assess respiratory rate before taking medication. 4. Assess heart rate before taking medication.