A patient, age 46, reports to his physician's office with urticaria and papules on his hands and arms. He says, "It itches so badly." In assessing the patient, the nurse should gather data regarding recent
a. travel to foreign countries.
b. upper respiratory tract infection.
c. changes in medication.
d. contact with people who have an infectious disease.
C
Urticaria is the term applied to the presence of wheals or hives in an allergic reaction commonly caused by drugs, food, insect bites, inhalants, emotional stress, or exposure to heat or cold.
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The nurse instructs an infertility client on how to determine if she is ovulating by using the basal body temperature method. Which statement should be included in the teaching session?
a. Temperature rises slightly (0.2 degrees Fa-hrenheit) about 24 to 36 hours before ovulation. b. The basal body temperature should be taken each morning within 1 hour after arising. c. The most fertile time is 3 to 4 days before and 1 to 2 days after ovulation. d. Begin charting the temperature on the first day the menses ceases.
The nurse is caring for a 5-year-old who had surgery yesterday. In order to evaluate the degree of pain the child is experiencing, the nurse will:
a. Expect the child to complain if she is in pain b. Observe for verbal and nonverbal cues that the child is in pain c. Give pain medication if the child is crying d. Ask the child to rate her pain on a scale of 1 to 10
A patient with a history of command hallucinations approaches the nurse yelling obscenities. Which nursing actions are most likely to be effective in de-escalation for this scenario? Select all that apply
a. Stating the expectation that the patient will stay in control b. Asking the patient, "Do you want to go into seclusion?" c. Telling the patient, "You are behaving inappropriately." d. Offering to provide the patient with medication to help e. Speaking in a firm but calm voice
The nurse employed in an emergency department is assisting in caring for an adult client who is a victim of family violence. Which priority instruction does the nurse include in the discharge plan?
A. Calling the police B. Self-defense classes C. The locations of shelters D. The importance of leaving the violent situation