A female patient has presented to the emergency department (ED) with complaints of a high fever and severe headache. The patient states that acetaminophen has had no appreciable effect on either symptom
The triage nurse recognizes the need to perform a rapid assessment for possible meningitis and should ask which of the following questions:
A) "Have you had a nosebleed since this problem started?"
B) "Have you noticed any tremors in your hands or arms?"
C) "Have you done any travelling in the last few weeks?"
D) "Are you having stiffness or pain in your neck?"
D
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A client reports an increasing loss of taste. He indicates he has little desire to eat as a result of the condition. What interventions may be implemented to enhance the client's mealtime experiences?
A) Add increased amounts of salt and pepper to foods. B) Increase cleansing of the tongue with the toothbrush at least 3 times per day. C) Attempt to eat more foods that are cooked rather than raw, cool, or room temperature. D) Increase use of tart flavorings in foods.
Before taking a patient's BP, the nurse estimates the patient's systolic pressure by:
A) Weighing the patient. B) Inflating the BP cuff 20 mm above the point the radial pulse is occluded. C) Asking the patient about his or her last BP reading. D) Asking the patient's age.
Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care b. Providing care with a focus on the group's needs c. Giving care with a focus on the aggregate's needs d. A value system in which all clients receive optimal care
A client is given ephedrine (Efedron) for bronchial asthma. The nurse should ask the client to report which effect of this drug?
1. Drowsiness 2. Palpitations 3. Excessive vomiting 4. Increased appetite