A nurse is examining a 25-year-old client who was seen in the clinic 2 weeks ago for symptoms of a cold and is now complaining of chest congestion and cough. The nurse should proceed with the examination by collecting which?
A. Data related to follow-up care
B. A complete (total health) database
C. Data related to the respiratory system
D. Data related to the treatment for the cold
Answer: C. Data related to the respiratory system
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A cardiac surgery patient's new onset of signs and symptoms is suggestive of cardiac tamponade. As a member of the interdisciplinary team, what is the nurse's most appropriate action?
A) Prepare to assist with pericardiocentesis. B) Reposition the patient into a prone position. C) Administer a dose of metoprolol. D) Administer a bolus of normal saline.
The nurse is interviewing a client being admitted to the hospital and inquires about any allergies the client has. The client states he is allergic to aspirin and penicillin
What intervention should the nurse provide immediately to prevent complications related to allergies? A) Apply an allergy bracelet and flag the chart. B) Tape an Epipen to the head of the bed. C) Inform the client not to take any medications with those substances in them. D) Call the physician.
The nurse is caring for four clients. Which client assessment is the most indicative of having pain?
a. Blood pressure 150/70 mm Hg and sleep-ing b. Client stating that he is "anxious" c. Heart rate of 105 beats/min and restless-ness d. Postoperative client with a neck incision
A patient has decided to explore palliative care. After making the decision, the nurse notices that not all of the disciplines of the health care team seem to be supportive of the decision. What action by the nurse is indicated?
1. Develop a plan of care and distribute it to the other disciplines of the healthcare team. 2. Plan a multidisciplinary conference to explore the patient's needs. 3. Contact the physician to report the discrepancies in the plan of care. 4. Advise the patient to contact the social services department.