A nurse is caring for a patient who is scheduled for a computed tomography (CT) scan with dye. Which of the following assessments by the nurse is most important?
1. Complete blood cell count to determine presence of anemia
2. Allergy history to determine whether the patient is allergic to antibiotics
3. Medication history to identify any over-the-counter medications the patient takes
4. Laboratory values to determine creatinine and glomerular filtration rate
ANS: 4
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When administering medications, the client states: "I've never taken this pill before. I really am not comfortable taking it." How should the nurse respond?
1. "It is okay if you are not comfortable taking the medication. You have a right to refuse." 2. "Let me check the physician's order and verify that it is the correct medication." 3. "The physician probably added a new medication to your regimen." 4. "It is probably a generic formulation of the drug, and it doesn't look like the medication you are familiar with taking."
An older patient is being abused by family members in the home and asks about adult protective services. What should the nurse explain about these services?
1. They punish persons who abuse the elderly. 2. They provide services to protect older people who may be abused or neglected. 3. They provide a way to permanently keep the older patient separated from the abuser. 4. They place older patients who cannot adequately care for themselves in nursing homes.
Your patient's baby was stillborn. You enter the patient's room and she asks you, "Why did God let this happen?" You recognize that your client is most likely in which stage of Kubler Ross's stage of grieving?
a. Denial c. Bargaining b. Anger d. Acceptance
While performing the assessment for bilateral symmetrical skin temperature, the nurse finds that the skin temperature of the patient's left hand is much cooler than the skin temperature of the right hand
The nurse should conduct additional assessment for which possible conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Peripheral arterial insufficiency 2. Hypothyroidism 3. Overuse 4. Infection 5. Differences in ambient room temperature