Which statement by the nurse illustrates how a nursing patient assessment differs from a medical patient assessment?
a. "The patient is able to stand for 30 seconds before walking 10 feet toward the bathroom without an assistive device."
b. "The patient is fearful that he will not be discharged home after his hospitalization."
c. "The patient stated he felt pain in his lower back after slipping on his icy driveway."
d. "The patient experienced a persistent cough, and azithromycin was prescribed 6 weeks ago. Today, she presents with a recurrent cough, green sputum, and worsening shortness of breath."
ANS: A
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A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:
a. "Men are not usually sympathetic to PMS sufferers." b. "You are probably right. You should remind your doctor of your symptoms every time you visit." c. "Since you feel certain you are right, you should just treat yourself with over-the-counter medications." d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."
A client has been admitted with third-degree AV block. What feature of third-degree heart block would the nurse expect to see on this client's ECG tracing?
A. Prolonged PR interval > 0.20 seconds B. Decreased PR interval < 0.20 seconds C. Consistent PR interval D. Inconsistent PR interval
A client undergoes a purified protein derivative (PPD) test. The test should be read:
1. immediately after the test. 2. 24 to 48 hours after the test. 3. 48 to 72 hours after the test. 4. anytime after 72 hours.
A 75-year-old lactose-intolerant patient complains that her appetite has decreased over the last month and that she has been experiencing pain in her bones. She is concerned that she is not getting enough vitamin D. Using your knowledge of vitamin D, what recommendation can you give her?
A. She should increase her exposure to sunlight daily in order to allow the sunlight to convert the cholesterol in her skin to vitamin D. B. She should start eating eggs and taking fish liver oil. C. She should start taking a vitamin D supplement containing 200 IU of vitamin D daily. D. All of these are correct.