To determine a hospitalized client's risk for falls, the nurse would assess which of the following?
1. the client's driving ability
2. the client's history of drug abuse
3. the presence of muscle weakness
4. the availability of resources for the client
ANS: 3
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The nurse begins a shift on a busy medical-surgical unit. The nurse will be caring for multiple patients. Which patient will the nurse assess first?
a. A patient who would like some acetaminophen (Tylenol) for a mild headache b. A patient who has a question about her daily medications c. A patient who needs discharge teaching about an antibiotic d. A patient who just received nitroglycerin for chest pain
A patient has been admitted to the neurological unit from the PACU after successful neurosurgery to remove a brain tumor. The nurse's admitting assessment reveals that the patient's gag reflex has not yet fully returned
The nurse should recognize that this assessment finding has the potential to cause which of the following nursing diagnoses? A) Risk for aspiration B) Impaired spontaneous ventilation C) Dysfunctional ventilator weaning response D) Imbalanced nutrition: less than body requirements
A young woman comes into the clinic with a respiratory infection. Because she has a fever of 101.6° F, the physician starts her on ampicillin 250 mg PO q6h. The patient has a history of being on birth control pills
What should you teach the patient about oral contraceptives with the use of antibiotics? 1. Penicillin will increase the effects of the birth control pill. 2. Use a backup method for birth control protection this month. 3. You will have a regular menstrual period; continue to take your birth control pill. 4. Birth control pills work with antibiotics if you take an antacid with them.
A patient who has been diagnosed with a form of gastric carcinoma is concerned about the prospects of her adult children having the disease
Which questions by the nurse shows an understanding of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Do any of your children smoke either cigarettes or cigars?" 2. "Have any of your children ever been treated for a stomach ulcer?" 3. "Have your children ever been tested for asthma?" 4. "Are any of your children particularly fond of eating bacon, hot dogs, or luncheon meats?" 5. "Are any of your children exhibiting signs of depression or obsessive compulsive disorder?"