A medical patient has rung her call bell complaining of a severe headache, and the nurse has conducted a rapid assessment of the patient. The assessment reveals tachycardia and a blood pressure (BP) reading of 198/144
The nurse would recognize the need to treat this patient for:
A) Primary hypertension
B) Hypertensive emergency
C) Hypertensive urgency
D) Secondary hypertension
C
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A patient has just returned to the surgical unit after varicose vein stripping and ligation. The best technique by the nurse to evaluate pain relief is:
1. checking the patient's record for the last dose of pain medication administered. 2. asking the patient to rate the severity of the pain on a scale of 1 to 10. 3. asking the family if they think that the patient is having pain. 4. telling the patient to ask for pain medicine when it is needed.
A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance would be to
1. give the child a computer-animatedgame that presents information on the management of cystic fibrosis. 2. arrange for the physician to sit downand talk to the child about the risks related to noncompliance with medications.et up a meeting with some olderteens with cystic fibrosis who have been managing their disease effectively. 4. discuss with the child's parents theprivileges that can be taken away, such as cell phone,if compliance fails to improve.
When discussing spirituality with the mother of an 8-year-old child, the nurse instructs the mother that children of this age:
A) enjoy lore and legends of religious groups. B) are influenced by their peer groups. C) are moved deeply by spirituality. D) may question religious authority.
A client has been admitted with disorganized type schizophrenia. The nurse observes blunted af-fect and social isolation. He occasionally curses or calls another client a "jerk" without provoca-tion
The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They fro-bitz me." The nurse would assess "frobitz" as: 1. Circumstantial speech 2. Loose associations 3. Evidence of delusional thinking 4. A neologism