The nurse is doing a shift assessment on several patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new reddened rash on the patient's chest
The patient should be asked what priority question regarding the presence of a reddened rash?
A) "Is the rash worse at a particular time or season?"
B) "Are you allergic to any food or medication?"
C) "Is there any loss of sensation?"
D) "What is your occupation?"
B
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A man with severe ulcerative colitis has been informed by his health care provider that he will require a colectomy and an ileostomy
The patient has been told by his health care provider that he is candidate for a continent ileal reservoir (Kock pouch). The patient's nurse recognizes which of the following advantages to the use of a Kock pouch as an alternative to the creation of an ileal stoma? A) The patient's abdominal wall will remain intact. B) The patient will soon be able to resume normal bowel function. C) The patient will have to make minimal dietary modifications. D) The patient will not have to wear an external collection bag.
The nurse assesses that the patient's urine has become much more concentrated, which results from the effect of:
1. adrenaline. 2. aldosterone. 3. antidiuretic hormone (ADH). 4. insulin.
A patient is admitted with acute hepatic dysfunction caused by chronic liver disease. Which of the following should the nurse assess for in this patient?
1. NSAIDs use 2. alcohol use 3. protein intake 4. treatment for hypertension
When planning discharge care for an older adult who is divorced, recently retired, and diagnosed with situational depression, the nurse learns that the patient's only child has moved 300 miles away. What is the nurse's best initial action?
a. Contact the child to discuss the parent's care needs. b. Arrange for live-in help to provide for the patient's care needs. c. Discuss the possibility of relocating to an assisted living center a reasonable distance from the child. d. Assess availability of other family members and social support systems to assist the patient in meeting care needs.