A nursing patient assessment differs from a medical patient assessment in that a nursing patient assessment:
a. focuses on functional abilities and deficits.
b. does not focus on feelings and behavior.
c. focuses only on subjective data.
d. focuses primarily on patient history.
A
The nurse focuses on functional abilities and deficits in addition to disease. These areas are not generally assessed by the physician. Option b is not true. In addition to subjective data (Option c), the nurse focuses on objective data. Option d is not true.
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The nurse is instructing the client on the correct toenail trimming technique when having onychocryptosis. Which instruction, made by the nurse, is best?
A) Use scissors and trim the toenails in a semicircle. B) Use nail clippers and round the corners on the end. C) Tear the nail across, allowing the nail to be removed. D) Use nail clippers allowing the ends of the nails to be longer.
A 70-year-old homeless man is admitted to the emergency department with heat stroke following 3 days of overexposure to outside temperatures. The nurse is most alerted to which signs and symptoms associated with heat stroke? Select all that apply
a. Temperature of 103.8°F b. Throbbing headache c. Diaphoresis d. Confusion
A nurse performing an admission history on a patient learns that the patient is taking orlistat (Xenical), warfarin (Coumadin), and levothyroxine (Synthroid). What will the nurse do?
a. Contact the provider to discuss increasing the warfarin dose. b. Give the levothyroxine at least 4 hours before giving the orlistat. c. Suggest that the patient avoid fatty foods while taking these medications. d. Tell the patient to take the orlistat on an empty stomach.
A sexually active married couple, discussing birth control methods with the nurse, express the need for a method that is convenient. Because the couple has told the nurse that family-planning goals have been met, which method of birth control does the nurse suggest?
A. Diaphragm B. Spermicide C. Sterilization D. Male condom