The nurse is conducting a sexual history interview. Which assessment question is appropriate?
1) "Have you ever had a kidney stone?"
2) "Have you had any changes in your voiding pattern?"
3) "How many times do you wake up during the night to void?"
4) "Are you using condoms?"
ANS: 4
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An older woman has been receiving enteral feeds by nasogastric (NG) tube for the past several days due to a decrease in her level of consciousness. How can the nurse best assess the patient's tolerance of the current formula and rate of delivery?
A) Carefully document the number and consistency of bowel movements. B) Aspirate and measure the stomach contents on a regular basis. C) Monitor the patient's skin turgor and the color of her sclerae. D) Perform regular chest auscultation and monitor her oxygen saturation levels.
A male patient is brought to the emergency department (ED) from the site of a chemical fire. The paramedics report that the patient has a burn that involves the epidermis, dermis, and the muscle and bone of the right arm
When the nurse assesses the patient, the skin appears charred. Based on these assessment findings, what is the depth of the burn on the patient's right arm? A) Superficial partial-thickness B) Deep partial-thickness C) Full partial-thickness D) Full-thickness
The nurse explains that the difference between primary infertility and secondary infertility is that primary infertility describes the inability to:
a. maintain a pregnancy past the first tri-mester. b. conceive after 1 year of active unprotected sex. c. deliver a viable infant after two pregnan-cies. d. conceive after using a follicle stimulator for 1 year.
The nurse is assessing a 2-month-old formula-fed infant who is experiencing colic. Which type of bowel movements should the nurse expect to occur with this health problem?
A) Hard and lumpy B) Yellow and semisoft C) Foul smelling and bulky D) Loose and mucus-streaked