What should the nurse begin by assessing when performing a head-to-toe assessment?
a. Support system
b. Skin integrity
c. Pain level
d. Neurologic status
ANS: D
When performing a head-to-toe assessment, the nurse begins with a neurologic assessment, then assesses the skin, hair, head, and neck, including the eyes, ears, nose, and mouth. The chest, back, arms, abdomen, perineal area, legs, and feet are examined in that order.
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A nurse is teaching a young adult patient about oral contraceptives, which the patient will soon begin taking. The patient's primary concern is the effectiveness of the medication in preventing pregnancy
The nurse should teach the patient that oral contraceptives, when taken consistently, are how effective in preventing pregnancy? A) Between 96% and 98% B) Approximately 98.5% C) Highly effective, but partially dependent on genetic factors D) Nearly 100%
A client asks her nurse, "Is it okay for me to take a tub bath during the heavy part of my menstrual cycle?" The correct response by the nurse is:
1. "Tub baths are contraindicated during menstruation." 2. "You should shower and douche daily instead." 3. "Either a bath or a shower is fine at that time." 4. "You should limit bathing and use a feminine deodorant spray during menstruation."
Normal tympanic membrane color is:
a. amber. b. chalky white. c. green. d. pearly gray.
Which site is not recommended for intramuscular injections? Why?
What will be an ideal response?