Effective communication with patients is critical to safety and quality of care. What are some of the barriers to communication (select all that apply)?
a. Differences in language
b. Cultural differences
c. Low health literacy
d. Inability to read
e. Stereotypes
A, B, C
According to The Joint Commission, effective communication with patients is critical to the safety and quality of care. Barriers to this communication include differences in language, cul-tural differences, and low health literacy.
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The nurse is preparing to assess an adult client who presents to the emergency department (ED) after falling down some steps at home. The client complains of left ankle pain and has open abrasions to the left knee and shin
Which should the nurse incorporate into the physical assessment of this client? Select all that apply. 1. Washing hands in the presence of the client. 2. Putting on nonsterile gloves to examine the client. 3. Ensuring that the client has an empty bladder before beginning the physical assessment. 4. Instructing the client to hold all questions and comments until the completion of the assessment so that the nurse can focus on the exam. 5. Assessing only the left lower extremity since this is the injured body part.
___ discussion
Fill in the blank with the appropriate word.
The client who has been taking high-dose corticosteroid therapy for a month to treat a severe inflammatory condition, which has now resolved, asks the nurse why she needs to continue taking the corticosteroids. What is the nurse's best response?
A. "It is possible for the inflammation to recur when corticosteroid therapy is halted." B. "Corticosteroids are a type of hormone. Once you have been started on a re-placement hormone, you must continue the hormone replacement therapy for the rest of your life." C. "The drug suppressed your own adrenal gland secretion of corticosteroids. Slowly decreasing the dose over time allows your adrenal glands to start adequate se-cretion again." D. "The drug suppressed your immune system while you were taking it. Slowly de-creasing the dose over time prevents your immune system from starting up too quickly and initiating allergic reactions."
A hospitalized client complains of fatigue, vision changes, and a significant headache. Which assessment finding would support a diagnosis of hypertension?
1. A retinal exam finding by the health care provider of microaneurysms and hard exudates 2. Blood pressure reading of 110/78 3. A one-time blood pressure reading of 140/99 4. Crackles bilaterally in all lung fields