The nurse is assessing a patient with pain in the lower back. Which questions or results indicate the nurse is using divergent thinking during the assessment process?
Select all that apply.
1. "Tell me about your dietary practices."
2. "Can you tell me on a scale of 1 to 10, with 10 being the worst, how you would rate your pain now?"
3. The nurse notes a cluster of blisters on the patient's scapula.
4. "When was the last time you had a physical?"
5. "Does your eyesight affect your ability to see the insulin you are taking?"
Correct Answer: 2, 3, 5
Divergent thinking is the ability to weigh the importance of information. When collecting data from a patient, the nurse can sort out the data that are relevant for care from the data that are not relevant. Normal data are helpful but may not change the care the nurse provides.
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When performing a physical assessment, the first technique the nurse will always use is:
a. Palpation. b. Inspection. c. Percussion. d. Auscultation.
During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. The nurse should treat this data as the basis of a nursing diagnosis plan
What does this data represent? a. Symptoms b. Data clustering c. Signs of fluid overload d. Urinary retention
The client is to receive Kantrex (kanamycin sulfate) 1 g po q6h for 5 days. What is this dose of medication in milligrams?
A) 1 B) 10 C) 100 D) 1000
All of the following nursing interventions are used to prevent contractures in severely burned clients. Which intervention also provides increased circulation and improved muscle tone?
a. doing active exercise b. maintaining correct alignment c. performing range-of-motion exercises d. supporting limbs with splints and pillows