The nurse instructs an adolescent on the hazards of body piercings and tattoos. Which outcome indicates that teaching has been effective?
A) The patient gets a small tattoo on the inner ankle.
B) The patient refuses to get eyebrow pierced with girlfriends.
C) The patient observes a tattoo being done and decides to get one with an older brother.
D) The patient limits body piercings and tattoos to areas on the trunk.
B
Feedback:
Evidence that teaching about body piercings and tattoos has been effective is the patient refuses to get eyebrow pierced with girlfriends. Getting any type of tattoo or body piercing on a body location indicates that teaching has not been effective.
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The nurse carefully reviews the patient's medication list. Which observation about the list indicates the highest risk for serious drug-drug interactions?
a. The patient has been taking the same medications for a long time. b. The patient is taking a large number of medications. c. Most of the drugs on the list are prescribed at high doses. d. The patient takes oral, injected, and inhaled medications.
The emergency department nurse is working triage during a disaster. Why should the nurse tag a victim after assessment in a disaster situation?
A) To know the victim's name B) The tag states the triage category of the victim. C) Someone else does not duplicate the assessment. D) Call for immediate hospitalization.
The nurse is explaining to a family member about the causes of the client's symptoms of schizophrenia. The family member is concerned that the family caused the disease in the client. The nurse should teach the family member that:
1. the family is probably the cause of the disease. 2. there are no causes for schizophrenia. 3. the client might be experiencing an alteration of neurotransmitters. 4. the client's neurotransmitter levels are probably normal.
A patient is admitted with the diagnosis of sickle-cell crisis. What action should the nurse take first if the patient has a temperature of 102°F, O2 saturation 89%, and severe abdominal pain?
A. Administer oxygen as prescribed. B. Administer morphine sulfate IM. C. Assess and document peripheral pulses. D. Give Tylenol (acetaminophen) grains X (650 mg).