The nurse performing an intake interview on a new resident to the long-term care facility detects the odor of acetone from the patient's breath. The assessment is done by:
a. inspection.
b. observation.
c. auscultation.
d. olfaction.
D
Olfaction is an assessment method of smells. Inspection and observation use the sense of vision. Auscultation refers to use of the sense of hearing.
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A nurse is providing anticipatory guidance to a community parent group about burn prevention. When discussing school-age and older children, which cause of burn occurs most often in this age group?
A. Cooking and kitchen activities B. Exposure to hot water C. Household electrical wires D. Touching hot appliances
The nurse is caring for a postoperative patient who is recovering from abdominal surgery. The nurse notes that the patient's breath sounds are clear but diminished, shallow, and slightly labored
The patient's pulse oximetry is 96% on room air. What is the priority action of the nurse? a. Administer a dose of the prescribed pain medication. b. Administer 2 L of oxygen via nasal cannula. c. Obtain an order from the physician for a chest x-ray. d. Ensure that the patient is using the spirometer 10 times every hour.
Which of the following nursing actions would be the most helpful to the community's long-term health?
a. Careful assessment, diagnosis, planning, and giving care to individual patients and their families b. Dialogue with community members concerning what health issues are of importance in that community c. Focusing on family health through school-based neighborhood clinics d. Helping the community create political change through organization, use of media, legislative lobbying, and mass demonstrations
Which of the following situations best describes when a person would most likely be very unhappy and perhaps ill after retirement? (Select all that apply.)
a. If their family total income is now less than when he or she was employed b. If the retirement was involuntary c. If the person's self-image was based on job role and status d. If the person has no outside interests or leisure activities e. If his or her spouse did not appreciate input into their schedules or activities f. If the person believes others are now taking credit for his or her achievements