Which part of the nursing process is the nurse using when obtaining a nursing history of a client's fecal elimination?
A)
Planning
B)
Assessment
C)
Evaluation
D)
Implementation
B
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The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?
1. 14-year-old whose 17-year-old sister is pregnant 2. 15-year-old who reports using condoms regularly 3. 16-year-old who had Chlamydia treated two weeks ago 4. 17-year-old with a history of child abuse
A 40-year-old man states that his physician told him that he has a hernia. He asks the nurse to explain what a hernia is. Which response by the nurse is appropriate?
a. "No need to worry. Most men your age develop hernias." b. "A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles." c. "A hernia is the result of prenatal growth abnormalities that are just now causing problems." d. "I'll have to have your physician explain this to you."
When assessing for Homans' sign, the nurse should
a. slightly bend the patient's knee and sharply dorsiflex the patient's foot b. compress both the radial and ulnar arteries c. palpate the femoral arteries d. inspect both legs from the groin to the foot
The nurse uses the nursing process prior to administering any medications. Which step will ensure the best patient safety?
1. Assess the patient's developmental level. 2. Assess the patient's medical history. 3. Assess the patient's disease process. 4. Assess the patient's learning needs.