The nurse is conducting a health history as part of a spiritual assessment. Which topics will the nurse collect during the biographical data section of this assessment? Select all that apply
1) Basic religious information
2) Marital status
3) Contact person
4) Age
5) Typical daily activities
ANS: 1, 2, 3, 4
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A critically ill patient with a large, deep, open traumatic wound has diminished serum albumin and total protein, diminished lymphocytes, and low iron levels
The patient has a history of alcohol abuse and is currently being supported with enteral nutrition, but the feeding is being held for excess residual volumes. What impact would the patient's situation have on wound healing? A) Diminished healing with increased risk of infection B) Improved healing secondary to the enteral nutrition C) Healing by primary intention has the lowest risk. D) Normal healing unless wound is infected
The nurse explains to parents of an obese child that which of the following methods is most successful in treating obesity?
A) Only increased physical activity B) Only reduced caloric intake C) Use of peer support groups D) Family behavioral therapy
The nurse prepares to administer a tetanus toxoid vaccination to a client who has suffered a puncture wound. The client reports that he had a tetanus shot just 1 year ago. What is the nurse's best action?
a. Give the vaccination because strains of tetanus change yearly. b. Refrain from giving the vaccination if the client is reliable. c. Give a smaller dose because antibody production slows down with aging. d. Give the shot because it won't hurt to re-ceive an extra dose of the toxoid.
A patient was involved in a motor vehicle accident and underwent a loop colostomy. The patient questions the nurse about what is draining out of each side of the colostomy. What is the nurse's best response?
a. "There is stool draining out of both sides." b. "Stool is draining out the stomach side and mucus is draining from the rectum side." c. "There is mucus and stool draining from both sides." d. "There is stool draining out of the stomach side and nothing draining out of the rectum side."