The nurse is assessing a client for reproductive health problems. What would be the priority assessments? (Select all that apply.)
a. Bleeding
b. Pain
c. Sexual orientation
d. Masses
e. Discharge
ANS: A, B, D, E
Bleeding, pain, masses, and discharge are common health problems that bring a client to a health care provider. Sexual orientation is not considered a health problem. Sexual activity should be assessed as part of the client's history.
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Helenann, a long-term care nurse educator, noted that one of the staff members was complaining of stress and anxiety. A common physiological response to stress and anxiety is:
A. Urticaria. B. Light-headiness. C. Sedation. D. Palpitations.
The nurse conducting an admission interview for a client with a herniated lumbar disk would be certain to ask the client about a history of
a. abdominal trauma. b. developmental problems of the spine. c. history of meningitis. d. previous back injury.
A patient, with a history of atrial fibrillation, is experiencing a massive gastrointestinal bleed. The patient is prescribed vasopressin. Which of the following side effects should the nurse be most concerned about with this patient?
1. vertigo 2. increased blood pressure 3. abdominal cramping 4. nausea
Trust, faith, and hope are significant concepts that relate closely to developing relationships and ultimately empowerment. For empowerment to be successful, people need to utilize which concept?
A) Critical thinking B) Maintaining the "status quo" C) Examining the community outside oneself D) Incorporating theoretical concepts