The nurse is assessing the skin of an adult patient and notes a wound. The patient states, "I just can't seem to get this sore to heal." Which is the priority assessment question by the nurse?
1) "How often are you cleaning it?"
2) "Do your clothes rub against the wound?"
3) "Do you have a history of diabetes?"
4) "Do you have any allergies?"
ANS: 3
You might also like to view...
The nurse, during the admission process, finds the client has brought his watch and wallet with him. The best action by the nurse is which of the following?
1. Send the valuables home with the family. 2. Place the valuables in the bedside table. 3. Lock the valuable in a drawer at the nurse's station. 4. Make a list of the items, including descriptions, and place the list in the chart.
What is important to incorporate in change?
A) Change should be planned and implemented quickly. B) Change should be planned and implemented gradually. C) Change should be planned and implemented sporadically. D) Change should be planned and implemented suddenly.
A pregnant client who was of normal prepregnancy weight is now 30 weeks pregnant. She asks the nurse what appropriate weight gain for her should be. What is the nurse's best response?
1. "25-35 pounds" 2. "30-40 pounds" 3. "17-18 pounds" 4. "Less than 15 pounds"
Patients who take alpha-blocking medications at home are frequently prone to:
A) postural hypotension. B) hypertensive crisis. C) narrow-angle glaucoma. D) vagal-induced bradycardia.