The nurse is conducting a focused nutritional assessment for an adult patient. Which question is most appropriate for the nurse to ask?
1) "Have you gained weight intentionally over the last year?"
2) "How much did you weigh 1 year ago?"
3) "How do you cope with stress in your life?"
4) "Do you have nausea that lasts more than 2 weeks?"
ANS: 4
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The advanced practice nurse is attempting to examine the patient's ear with an otoscope. Because of impacted cerumen, the tympanic membrane cannot be visualized
The nurse irrigates the patient's ear with a solution of hydrogen peroxide and water to remove the impacted cerumen. What nursing intervention is most important to minimize nausea and vertigo during the procedure? A) Maintain the irrigation fluid at a warm temperature. B) Instill short, sharp bursts of fluid into the ear canal. C) Follow the procedure with insertion of a cerumen curette to extract missed ear wax. D) Have the patient stand during the procedure.
Which of these is the most flexible and reliable secondary storage device?
1. DVD drive 2. Magnetic tape drive 3. CD-ROM drive 4. Zip drive
A nurse aide working in the geriatric unit's dining room tells the nurse that a patient who was oriented to time and place this morning is now confused about what day it is and why she's "here." The nurse appropriately directs the nurse aide to
a. take the patient back to her room and put her safely in bed. b. place a falls risk identification bracelet on the patient and add the status care plan. c. immediately take the patient's vital signs and report them to her. d. reorient the patient to time and place fre-quently and document the patient's re-sponse.
Briefly explain why you answered the above questions the way you did