The nurse is most likely to collect timely, specific information by asking which of the following questions?
A. "Would you describe what you are feeling?"
B. "How are you today?"
C. "What would you like to talk about?"
D. "Where does it hurt?"
Answer: A. "Would you describe what you are feeling?"
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Which is least likely to be true about working with an interpreter?
a. An interpreter may be needed even when the nurse speaks the same language as the client. b. When working with interpreters, the nurse should avoid using technical terms or metaphors. c. A client's young granddaughter who speaks English fluently would make the best interpreter because she is familiar with and loves the client. d. The nurse should face the client, rather than the interpreter.
A nurse's manager has suggested that a nurse formulate a PICO question to clarify the topic before doing a literature review. When the nurse asks what the acronym PICO stands for, how should the nurse manager respond?
a. Policy, information, comparison, outcome b. Patient, information, collection, outcome c. Patient, intervention, comparison, outcome d. Policy, intervention, communication, outcome
On the second postoperative day after a subtotal thyroidectomy, the client tells the nurse that he feels numbness and tingling around the mouth. What is the nurse's best first action?
A. Offer mouth care. B. Loosen the dressing. C. Notify the physician. D. Document the finding as the only action.
Assessment reveals that a patient has lost 10 pounds in the last 2 months. Weight loss is one of the three defining characteristics of the diagnostic category Imbalanced nutrition: less than body requirement. Knowing this, the nurse should:
A. restate the nursing diagnosis as Imbalanced nutrition: less than body requirements related to poor dietary habits. B. examine the assessment data to see if other signs and symptoms of altered nutrition exist. C. ignore the data regarding the weight loss because 10 pounds is not that much. D. restate the nursing diagnosis as Weight loss related to decreased food intake.