The nurse is collecting data from a patient with an inner ear disorder. Which findings should be the most concerning to the nurse?
a. Otalgia
b. Vertigo
c. Nausea
d. Headache
ANS: B
Vertigo should be concerning because of the patient's increased risk for falls. A. C. D. These are typically findings associated with an ear disorder and should not increase the nurse's concern.
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A preterm newborn is on a ventilator, receiving intravenous therapy, and is surrounded by various technological equipment when her parents come to visit for the first time. Which action by the nurse would be most appropriate?
A) Suggest that they stay for just a few minutes to reduce their anxieties. B) Reassure them that their newborn is progressing well. C) Encourage the parents to touch their preterm newborn. D) Discuss the care they will be giving the newborn upon discharge.
Standard precautions were designed for the care of all patients in hospitals, regardless of their diagnosis or infection status. Guidelines for standard precautions include:
A) Immediately recapping used needles B) Disposing of sharp instruments into an impervious container C) Wearing gloves only for sterile procedures D) Substituting regular eyeglasses for eye protection
Which precaution is most important for the nurse to teach a patient who is prescribed any type of eye drug administered as eye drops?
a. Apply only the number of drops prescribed. b. Stop the drug immediately if eye redness occurs. c. Wear dark glasses for 1 hour after placing the eye drops. d. Apply pressure to the corner of the eye after the drug has been placed.
Which of the following statements best reflects the nurse's understanding of the primary nursing related purpose of a concept map?
1. To facilitate holistic nursing care 2. To provide visualization of the client's health problems 3. Assist in the identification of client-oriented nursing diagnoses 4. Demonstrate the relationship between the client's various health problems