When talking to a client before starting the physical exam, the nurse notes that the client's head is tilted to one side. Which of the following would the nurse examine first?
A) Hearing acuity
B) Thyroid gland
C) Mental status
D) Lymph nodes
A
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Marnie is a 16-year-old patient with bipolar disorder. She is manic right now and is in the hallway naked, making sexual requests of the staff and other patients. What is your best course of action?
A. Quietly approach her, escort her to her room, and assist her in getting dressed. B. Quietly approach her, escort her to her room, and explain to her the inappropriateness of her actions. C. Approach her, confront her behavior as it is happening, and escort her to her room. D. Confront her behavior in the hall, apologize to the other patients, and escort her to her room.
A client is suspected of experiencing a brain injury. The nurse in the emergency department notes that the client had extended loss of consciousness and is now combative. The nurse concludes that the client has experienced:
1. a penetrating brain injury. 2. a concussion. 3. a contusion. 4. intracerebral hematoma.
When information is reported by the patient, it is considered to be subjective data. Which statement below is considered to be objective data?
1. The patient tells the nurse, "I have pain in my lower back." 2. Mr. Williams tells the nurse he is having trouble catching his breath. 3. Miss Sims has told the doctor she has no history of allergies to antibiotics. 4. The patient's skin is warm and dry.
When providing education to a mother regarding pain management for a toddler with otitis media, which statement by the mother indicates further teaching needs for this parent?
A) "Use of infant Tylenol is good for my toddler." B) "I should give my toddler one baby aspirin." C) "I don't have to give my child pain medication unless he needs it." D) "Ibuprofen can be purchased over the counter to use if my toddler needs it."