The nurse is concluding the patient assessment. Which of the following actions would be most appropriate?
A. Acquire secondary data to verify health problems
B. summarize findings and concerns with the patient
C. discuss patients hx with other providers
D. Apply interventions appropriate for patient condition
Answer: B. summarize findings and concerns with the patient
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A client with multiple myeloma is complaining of severe pain when the nurse comes in to give a bath and change position. What is the priority intervention by the nurse?
A) Inform the client that the position must be changed, and then you will give her pain medication and omit the bath. B) Inform the client that she will feel better after receiving a bath and clean sheets. C) Obtain the pain medication and delay the bath and position change until the medication reaches its peak. D) Inform the client that the bath and positioning is an important part of client care and will be done right after pain medication administration.
A client who is burned is drooling and is having difficulty swallowing. Which action does the nurse take first?
a. Assess level of consciousness and pupil-lary reactions. b. Ascertain the time food or liquid was last consumed. c. Auscultate breath sounds over the trachea and mainstem bronchi. d. Measure abdominal girth and auscultate bowel sounds.
For best results, an otoscopic and oral examination in a child should be:
a. conducted at the beginning of the assess-ment. b. done after inspection. c. performed at the end of the examination. d. performed before palpation.
Feeding tubes should be placed into the small intestine rather than the stomach if
a. the patient is comatose. b. a regular polymeric formula is being used. c. the patient prefers not to have a tube passing through his or her nose. d. the patient is expected to resume oral feedings within 1 to 2 weeks.