A nurse is taking a health history from a client who states that he has been to numerous physicians and has had a lot of laboratory tests (all of which were abnormal) and exploratory surgery, but no one is able to explain the etiology of his
problem. The client also states that he has a PhD in epidemiology and he has a rare form of a neurological disorder. The nurse who utilizes critical thinking will make which statement? A)
"If you know what you have, what do you want from us?"
B)
"Describe what tests you've had, and explain the symptoms of this disorder."
C)
"Why don't you just tell your physician what you think you have?"
D)
"Did you bring your prior tests and results with you, so we don't repeat anything?"
B
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An older adult patient is at risk for constipation after sustaining a pelvic fracture. Which nutritional suggestion by the nurse is most appropriate?
a. Select food with high sodium content. b. Avoid foods high in dietary fiber. c. While immobilized, drink at least 2 to 3 L of fluids daily. d. Include milk products at every meal.
What action must the nurse always take to confirm the diagnosis before final decisions are made?
A. Ensuring it is an official diagnosis in the Omaha diagnosis system B. Checking to see if it is a reimbursable diagnosis C. Confirming that the diagnosis falls within the agency's guidelines D. Validating the diagnosis/conclusion with the community or client
A confused older adult patient in a skilled care facility is in bed sleeping. The nurse enters the room quietly and touches the bed to see if it is wet
The patient awakens and hits the nurse in the face. Which statement best explains the patient's action? a. Older adult patients often demonstrate exaggerations of behaviors used earlier in life. b. Crowding in skilled care facilities increases individual tendencies toward violence. c. The patient interpreted the health care worker's behavior as potentially harmful. d. This patient learned violent behavior by watching other patients act out.
In providing the care, which division of tasks is best for the nurse to assign?
a. the lpn removes the subclavian catheter with the rn supervising to ensure that sterile procedure is followed b. after the hcp removes the subclavian catheter the lpn updates the plan of care and the rn starts the new iv and antibiotics c. after the rn removes the subclavian catheter the UAP applies pressure to the site and covers the area with a dressing d. after the rn removes the subclavian catheter the lpn obtains vs and the uap transports the tip to the lab