Which action by the nurse when conducting a physical assessment for a homeless person is most appropriate
1) Donning full PPE when entering the patient's room
2) Washing hands after touching the patient each time
3) Having close face-to-face contact upon entering the patient's room
4) Working from toe to head when examining the patient
ANS: 4
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Cytoxan is ordered for a client who will be receiving her first chemotherapy for ovarian cancer today. Since no other chemotherapy agent is prescribed for her, the nurse should recognize that:
a. after today's administration of medication, the same therapy will be repeated at regular intervals over the course of a year b. the client's cancer has not metastasized c. the client will remain in the hospital to receive a regimen of the drug over the course of 5 days d. this drug may be given in conjunction with other chemotherapy agents, depending on the severity and extent of the cancer
A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 100/56, apical pulse 56, respiratory rate 12. Which of the vital signs should be addressed immediately?
a. Respiratory rate b. Temperature c. Apical pulse d. Blood pressure
The nurse is leading a psychotherapy group and is establishing the norms for the group. What norms will the nurse establish that will help the group function in a productive manner? (Select all that apply.)
1. Empathy for one another 2. Honest communication 3. Respect for one another 4. Arriving on time 5. Self-disclosure
A nurse is performing a review of systems of a client with cardiovascular problems. Of the questions listed below,
numbers ____________________ are appropriate for a review of this system. (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. "Do you remember what your last cholesterol value was?" 2. "Have you had chest pain or shortness of breath (dyspnea)?" 3. "Do you have trouble breathing when you lie down (orthopnea)?" 4. "Are your feet cold, numb, or do they change color?" 5. "How much do you weigh?" 6. "Have you noticed edema in your ankles at the end of the day?"