A nurse is assessing a patient before developing a teaching plan. What questions or statements will best obtain data on this patient related to health literacy? (Select all that apply.)
a. Have you missed appointments because you misunderstood the instructions?
b. How well are you able to read?
c. How would you look for information on your diagnosis?
d. Tell me how you compare two similar products.
e. What would make you go to the emergency department?
A, C, D, E
Health literacy is not just the ability to read; it also includes the ability to understand instructions on prescription drug bottles, appointment slips, medical education brochures, doctor's directions and consent forms, and the ability to negotiate complex health care systems. Asking questions related to missing appointments, looking for information, comparing products, and making decisions would yield good information on the state of this patient's health literacy. Reading level is important but is not the best indicator.
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A nurse is required to closely monitor four clients being treated for shock. During the assessment, the nurse documents the following values for the clients. Which of the following clients is most stable?
A) Client A: Heart rate 70 beats per minute, systolic blood pressure (BP) 100 mm Hg, urine output 30 mL/hour B) Client B: Capillary refill time between 7 and 10 seconds, urine output 35 mL/hour C) Client C: Heart rate 115 beats per minute, systolic BP 129 mm Hg, urine output 60 mL/hour D) Client D: Capillary refill time between 5 and 6 seconds, urine output 30 mL/hour
The nurse assessing a client who has been diagnosed with Lyme disease in its early stage recognizes the following symptoms as classically seen in that stage: Select all that apply
1. "Bull's eye" rash 2. Stiff neck 3. Forgetfulness 4. Severe headache 5. Painful urination
When transferring the patient into a car,
A. place the wheelchair at a 45° angle to the car. B. avoid locking the brakes to the wheelchair, so you can move the chair quickly to assist. C. lift the patient from the wheelchair to the car seat. D. always move the patient toward her strong side.
Transparency of urine
What will be an ideal response?