What is the first step the nurse should take upon beginning the process of data collection?
a. Physical examination
b. Client interview
c. Review of medical records
d. Discussion with other health team members
B
The first step in establishing the database is to collect subjective information by interviewing the client.
The physical examination follows the client interview so that data can be verified.
A review of medical records is not the first step the nurse should take in the process of data col-lection. The medical record is a valuable tool for checking the consistency and congruency of personal observations made during the client interview.
Discussion with other health team members may provide additional information and be used to relay information, but it is not the first step in the process of data collection.
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The nurse anticipates certain psychosocial responses to pain from clients. The factors affecting a person's perceptions and reactions to pain include: Standard Text: Select all that apply
1. Cultural background can affect pain threshold. 2. Cultural background can affect the level of pain that an individual is willing to tolerate. 3. Children are often undertreated for pain. 4. Education related to pain can affect the perceived quality of life for both clients and their caregivers. 5. Previous pain experiences influence a client's expectations for relief.
A nurse on an orthopedic trauma unit is providing care for a client who has had Buck's traction applied after suffering multiple trauma in a motorcycle accident. The essential characteristic of all types of traction is the application of:
A) Pulling force to aid healing or relieve symptoms B) Twisting force to prevent complications of immobility C) Therapeutic pressure on an injured body part D) Pushing injured bones together to promote reunion
When the nurse is assessing a bed-bound resident, a reddened area over the coccyx that does not blanch is discovered. The best intervention to prevent further skin damage is to:
a. cover with a transparent film dressing. b. apply warm compress. c. turn the patient every 2 hours. d. continue to monitor the area.
The nurse has to wipe down a bedside table that was used to complete a dressing change. What agent would be best for the nurse to use to wipe down the bedside table?
A) Povidone-iodine B) Dry heat C) Moist heat under pressure D) Chlorine beach