The nurse is preparing to assess a young adult female with right-upper-quadrant abdominal pain. Which question should the nurse ask when performing this assessment?
A. "Do you have a history of diabetes?"
B. "Have your periods been normal?"
C. "Does the pain worsen when you inhale?"
D. "When you eat, do you experience any nausea?"
Answer: C
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The anesthesiologist has ordered continued pulse oximetry readings for a postoperative client. Which of the following nursing interventions is most appropriate?
1. Remove the pulse oximeter sensor every 8 hours to prevent skin irritation and possible breakdown. 2. Anticipate gaining as much information from the pulse oximeter readings as from arterial blood gas values. 3. Place the pulse oximeter sensor on the same extremity as the blood pressure cuff if possible. 4. Use pulse oximetry measurements along with the other assessment data.
Which of the following is likely to result in damage to the client's skin? (Select all that apply.)
1. Dry shaving a client in preparation for discharge 2. Removing the tape when discontinuing a heparin lock 3. Frequently positioning the client on her favorite right side 4. Applying moisturizing lotion on the heels of a diabetic client 5. Elevating the bed to 85 degrees so the client can easily watch a movie on TV 6. Waiting until the mechanical lift is available to transfer an immobile client
A nurse is preparing to give an antibiotic to a patient who reports being allergic to antibiotics. Before giving the medication, it is important for the nurse to do what?
a. Ask whether the patient has taken this antibiotic for other infections. b. Question the patient about allergies to other medications. c. Obtain a history of other reactions to other drugs. d. Request an order for an antihistamine.
Which HEALTH protection activity would a patient of a Native American heritage practice?
1. Dressing appropriately for the weather. 2. Prevent evil spirits by not looking at a mirror at night. 3. Eat sorghum molasses. 4. Keep onions under the bed to keep nasal passages clear.