The client reports nausea and constipation. Which of the following would be the priority nursing action?
A. Collect a stool sample
B. Complete an abnormal assessment
C. Administer an anti-nausea medication
D. Notify the physician
Ans: B. Complete an abnormal assessment
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An 85-year-old client is admitted to the emergency department with a major burn. Which physician order would the nurse question?
A) administer narcotics intramuscularly as needed for pain B) insert Foley catheter for hourly output measurements C) take vital signs every 5 to 15 minutes D) apply topical antimicrobial ointment to wounds
A patient has informed the home health nurse that she has recently noticed distortions when she looks at the Amsler grid that she has mounted on her refrigerator. What is the nurse's most appropriate action?
A) Reassure the patient that this is an age-related change in vision. B) Arrange for the patient to have her visual acuity assessed. C) Arrange for the patient to be assessed for macular degeneration. D) Facilitate tonometry testing.
A patient has decreased cardiac output. Which physiologic process in the kidneys would be most affected by this disease process?
a. Glomerular filtration b. Tubular reabsorption c. Tubular secretion d. Osmotic pressure
Which data would be more typical of an acute care diagnosis than a community/public health nursing diagnosis?
A. A child in the school system admitted for insulin overdose B. Health promotion needs for the neighborhood school C. Mortality and morbidity rates for the city D. Unavailable services in the county