Which is the most important question the nurse should ask a client before performing a routine musculoskeletal assessment?
A. "Do you exercise every day?"
B. "Do you have a history of any sports injuries?"
C. "Do you take a hot bath to relax your muscles?"
D. "Do you want pain medication before I begin?"
Answer: B
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The nurse is caring for a child who experiences an anaphylactic shock reaction. Which of the following positions would be the most appropriate in which to place this child?
1. Trendelenburg position 2. high Fowler's position 3. reverse Trendelenburg position 4. Flat, with legs slightly elevated
A nurse assesses a client who has open lesions. Which action should the nurse take first?
a. Put on gloves. b. Ask the client about his or her occupation. c. Assess the client's pain. d. Obtain vital signs.
A 54-year-old patient is going on an ocean cruise. What medication would be most effective for motion sickness?
A) Meclizine (Antivert) B) Diphenhydramine (Benadryl) C) Hydroxyzine (Atarax) D) Metoclopramide (Reglan)
A patient scheduled for dialysis is on a fluid restriction of 1000 mL/day. The nurse sees the patient drinking a 355 mL soft drink after the patient has already reached the maximum intake of fluid for the day
The nurse has instructed the patient on the risks of fluid overload. What action should the nurse take? A) Take the soft drink away from the patient and inform the dialysis nurse to remove extra fluid from the patient during his next dialysis treatment. B) Document the patient's behavior as noncompliant and notify the health care provider. C) Restrict the patient's fluid for the following day and communicate this information to the charge nurse. D) Reinforce the importance of the fluid restriction, and document the teaching and the intake of extra fluid.