Which is a priority nursing assessment for the client who is receiving a parenteral feeding?
A. Fluid overload
B. Overnutrition
C. Electrolyte imbalance
D. Weight loss
Answer: A
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The nurse is performing an abdominal assessment and has just completed auscultation. Which technique would the nurse correctly choose to use next in this assessment?
1. Percussion. 2. Palpation. 3. Transillumination. 4. Auscultation.
The nurse and is very concerned about infection control in the Surgery Department. Recently she provided education to the surgery staff on ways to eliminate transient hand flora. The most pre-cise description for this is hand:
a. hygiene. b. washing. c. antisepsis. d. rub.
A client has been on dialysis for 6 weeks. The family is complaining that instead of feeling grateful at this second chance at life, the client has become irritable with them and seems de-pressed. The most helpful response by the nurse would be
a. "Depression is very common at this time; it is hard to adapt to the losses s/he feels." b. "I am surprised that your loved one doesn't feel happier about being alive." c. "This must be very hard on you for your loved one to be so unappreciative." d. "We can arrange a psychiatric consultation if you think it will help."
A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
A) The patient is embarrassed by the questions. B) This is culturally appropriate behavior. C) The patient dislikes the nurse. D) The patient does not understand what is being asked.