An older adult patient reports "ringing" in the ears. What additional data should the nurse gather to help determine the cause of the patient's problem?
a. History of ear surgery
b. Use of prescription medications
c. Exercise and sleep patterns
d. Nutritional status, especially protein intake
B
Tinnitus can be a result of damage to inner structures caused by the toxic effect of certain drugs. The other assessment findings are not as important for this problem.
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The nurse is reviewing the anatomy and physiologic functioning of the heart. Which statement best describes what is meant by atrial kick?
a. The atria contract during systole and attempt to push against closed valves. b. Contraction of the atria at the beginning of diastole can be felt as a palpitation. c. Atrial kick is the pressure exerted against the atria as the ventricles contract during systole. d. The atria contract toward the end of diastole and push the remaining blood into the ventricles.
The hospital administration asks nursing services to assume housekeeping duties from midnight until 6:00 a.m
Nurses are fearful that this is the first step to shifting complete 24-hour-per-day responsibility for housekeeping duties to nursing services. The nurses believe this would take away from their ability to provide quality nursing care to their patients. This scenario is an example of which ethical concept? 1. The MORAL argument 2. Slippery slope thinking 3. Relevance thinking 4. Reluctance model
A client has just completed a bone marrow biopsy. What should the nurse document about the client at this time?
1. Client's tolerance of the procedure 2. Bowel sounds 3. The site for bleeding 4. Status of deep tendon reflexes 5. Presence of pain and any pain medication received
A hospital patient is experiencing severe nausea and asks for medication to help relieve it. The RN checks the patient's chart and notes that the physician has authorized Compazine 25 mg pr q12h as needed for nausea. The patient has not had any Compazine for the last 24 hours, so the RN administers a rectal suppository. For which of the following should the nurse observe after administering the Compazine?
A. that the suppository dissolves as expected B. that the suppository is retained by the patient C. that the patient does not vomit D. that the patient's IV line is functional