The student nurse is shadowing an experienced registered nurse. The student observes the admission assessment of a patient
After the assessment, the nurse questions the importance of determining the socioeconomic status of the patient for the plan of care. What response by the nurse is most appropriate? 1. The patient's income will determine his likelihood of paying his hospital bills.
2. The patient's socioeconomic status will influence the patient's beliefs about health care.
3. Determining the patient's socioeconomic status will enable the nurse to identify the patient's healthcare priorities.
4. The socioeconomic status will provide the best information when selecting the patient's roommate.
2
Rationale: The socioeconomic status of a patient will provide information about the health care beliefs and access to health care. While the ability to manage hospital related costs might be impacted by the socioeconomic status it is not the primary reason for the assessment. The socioeconomic status will not definitively provide information about the health care priorities. Roommate selection is not the focus of this line of questioning.
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The caregiver is encouraging a young adult client to look into the community's vocational training programs based on the thought that
1. the client needs public assistance. 2. a working citizen is a productive one. 3. without training, society will think the client is a deadbeat. 4. lack of education limits opportunities and fosters problems.
When providing patient teaching to an older adult patient and her daughter, the nurse cautions them about avoiding which over-the-counter medication often used by patients with sleep-wake disorders?
1. Zolpidem 2. Ramelteon 3. Trazodone 4. Diphenhydramine
The client is experiencing a heart rate of 200 beats/min. The ECG pattern demonstrates absent P waves and normal and consistent QRS complexes and duration. What is the nurse's interpretation of these findings?
A. Ventricular tachycardia B. Second-degree heart block C. Supraventricular tachycardia D. Premature ventricular contraction
The recovery room nurse is preparing to discharge a 24-year-old client to home following the client's ambulatory surgery. Which of the following discharge instructions provided by the nurse is the most comprehensive?
1. Verbal and written instructions to the client and family regarding the client's wound, activity and diet restrictions, new medications, pain management, potential complications, and process for reaching the health care provider if needed 2. Verbal instructions to restrict all activities, diet restrictions, pain management, and circumstances that require contacting the health care provider 3. Written instructions to manage the wound, instructions to resume activities slowly, methods for pain control, and information on whom to contact in 2 days 4. Verbal and written instructions to the family regarding the client's activity, diet, potential problems, and medications