The nurse is performing a symptom analysis of a client with a skin disorder. Of the questions listed below, numbers ____________________ are appropriate for symptom analysis
(Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. "When did the rash first start?"
2. "Do you have a family history of rashes?"
3. "What makes the rash worse?"
4. "What do you do to make your rash better?"
5. "Does the rash itch or burn?"
6. "Describe what the rash looked like initially."
ANS:
1, 3, 4, 5, 6
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The nurse can record that the compensatory mechanism for the correction of metabolic acidosis is in effect when the nurse observes:
a. increased urinary output. b. reduced abdominal distention. c. Kussmaul's respirations. d. decreased blood pressure.
A patient is in sinus tachycardia. Which nursing interventions are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Observe the patient for effects on cardiac function. 2. Administer two tablets of acetaminophen (Tylenol) per physician prescription if the temperature is elevated. 3. Administer normal saline 0.9% IV at the prescribed rate of 200 mL per hour if hypovolemia is suspected as the cause. 4. Give pain medications as prescribed if pain is present. 5. Give atropine per physician prescription to slow the heart rate.
Information about the way in which someone wishes to be cared for following death can be obtained from ______.
a. the patient, once it becomes apparent that they are dying b. relatives c. religious/cultural/community leaders d. all of these
The nurse explains to a preconception class that if only a small volume of sperm is discharged into the vagina, an insufficient quantity of enzymes might be released when they encounter the ovum
In that case, pregnancy would probably not result, because of which of the following? 1. Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus. 2. The block to polyspermy (cortical reaction) would not occur. 3. The fertilized ovum would be unable to implant in the uterus. 4. Sperm would be unable to penetrate the zona pellucida of the ovum.