When assessing the quality of a client's pedal pulses, what is the nurse assessing? Select all that apply
a. Rhythm of the pulses
b. Strength of the pulses
c. Bilateral equality of pulses
d. Rate compared with apical pulse
ANS: B, C
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A nurse carefully explained that the medication had to be taken three times a day, with each meal. The patient came to the clinic with symptoms of medication overdose. How should the nurse respond?
a. "Can you explain what you believe happened to make you so ill now?" b. "Can you tell me when in the day you and your family eat?" c. "Please review with me when I taught you to take your medication." d. "Why did you take more medication than we suggested?"
You are the nurse caring for a patient who is Native American who arrives at the clinic for treatment related to type II diabetes
Which question would best provide you with information about the role food plays in the patient's cultural practice and identify how the patient's food preferences could be related to the patient's problem? A) "Do you feel any of your cultural practices have a negative impact on your disease process?" B) "What types of foods are served as a part of your cultural practices, and how they are prepared?" C) "As a nonnative, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care?" D) "Tell me about foods that are important to your cultural practices and how you feel they relate to your diabetes."
The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV. The best action for the nurse at this point would be to:
1. keep the infusion equipment out of sight as much as possible, talk slowly, and divert the patient. 2. inform the patient that the doctor has ordered the IV and calmly continue to pre-pare the site and start the IV. 3. give an analgesic as ordered, wait a few minutes, and then proceed. 4. restrain the patient's arm to a padded arm board and proceed as directed.
The nurse at the clinic is interviewing a 64-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds (57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine 2 or 3 times a week
Which topics will the nurse plan to include in patient teaching about cancer screening and decreasing cancer risk (select all that apply)? a. Pap testing b. Tobacco use c. Sunscreen use d. Mammography e. Colorectal screening