A patient is admitted with dependent edema. As a nurse assesses the patient for the presence of jugular vein distention, the nurse is using the process of:
A. evaluation.
B. data collection.
C. problem identification.
D. testing the hypothesis.
B
When a nurse evaluates, he or she is determining if a patient goal has been met. Problem identification and testing the hypothesis are two steps used in the scientific process.
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The nurse suspects that a client is hypersensitive to a vaccine just administered. Nursing management of an allergic response includes immediate assessment of the:
1. injection site for signs and symptoms of the inflammatory response. 2. skin to check for urticaria. 3. dose of medication taken by the client. 4. respirations to determine airway patency.
A nurse recently hired by an ambulatory care clinic has attended training relating to HIPAA. Which of the following statements by the nurse indicates understanding of the regulations associated with HIPAA?
A) "I cannot discuss the past medical history of a client seeking care at the clinic with her husband without permission." B) "Faxing of information is prohibited by HIPAA." C) "Verbalization of an understanding of the privacy notice regarding healthcare information is sufficient." D) "Financial information relating to payment for services is not subject to the HIPAA regulations."
A clinic nurse is assessing an adolescent male patient who has been receiving androgen therapy for hypogonadism via a transdermal patch. The patient's last clinic visit was 4 weeks earlier
Which part of the interval history is of most concern to the nurse? a. Five-pound weight gain b. Increased growth of pubic hair c. Rash at the site of the patch d. Presence of acne
A nurse is working on a unit with short staffing. The nurse has voiced concerns to the charge nurse, who appears to brush them off. Which action would be the most appropriate for the nurse to take?
a. Document the concerns. b. Raise a voice to get the point across. c. Talk about the charge nurse to coworkers. d. Keep the issues to themself.