Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
a. "Have you ever had blackouts?"
b. "When did you have your last drink?"
c. "Has drinking caused you any problems?"
d. "When did you decide to seek treatment?"
ANS: B
Learning when the patient had the last drink is essential to knowing when to begin to observe for symptoms of withdrawal. The other questions are relevant but of lower priority.
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After the physician has prescribed danazol (Danocrine) for treatment of a client's endometriosis, the nurse would explain that this drug may cause
a. hot flashes. b. increased breast size. c. irregular periods. d. loss of appetite.
A nursing instructor is preparing for a class discussion on spinal muscular atrophy (SMA). When describing type 2 SMA, which of the following would the instructor include? Select all answers that apply
A) Onset before 6 months of age B) Weakness most severe in shoulders and hips C) Difficulty with swallowing D) Slowly progressing condition E) Genetic disease with autosomal recessive inheritance
Swanson's theory of caring is best demonstrated when the nurse:
1. Demonstrates efficiency when performing ordered treatments 2. Offers to stay with the client during a painful bedside procedure 3. Administers the client's pain medication promptly when requested 4. Frequently updates a family regarding a client's status during surgery
Numbers __________________ listed below indicate methods a nurse uses to collect data when assessing the lower extremities of a client during a head-to-toe assessment
(Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. Inspecting legs, ankles, and feet for skin characteristics, vascular sufficiency, and hair distribution 2. Assessing knee stability with the drawer test, McMurray's test, or Apley's test 3. Palpating lower legs and feet for temperature, pulses, tenderness, and deformities 4. Assessing for nerve root compression with straight leg raises 5. Palpating hips for stability and tenderness 6. Testing patellar and Achilles deep tendon reflexes bilaterally