A female client arrives at a healthcare facility complaining of frequent chest pain that disappears after some time. Assessment reveals that the pain does not seem to be acute. The physician suspects heartburn
Which question should the nurse ask to validate this interpretation? A) What immunizations have you had?
B) When was your last menstrual period?
C) Do you have digestive problems?
D) Have you passed blood in your stool or urine?
C
Feedback:
The nurse should ask the client if she has any digestive problems to validate heartburn. The vaccines that the client had will not help validate the condition. The client's last menstrual period and occurrences of blood in stool or urine are not relevant to the pain experienced by the client.
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Which of the following statements reflects just culture within an organization (select all that apply)?
a. Just culture is a punitive reaction to patient errors. b. Just culture occurs when the organization is transparent about its mistakes. c. Interpersonal learning is balanced with personal accountability and discipline. d. Expectations for system and individual learning are apparent. e. Serious safety events are reported to se-nior leadership and kept confidential.
A patient asks the nurse why an intravenous (IV) line must be used to receive the antidysrhyth-mic drug lidocaine (Xylocaine). What is the nurse's best response?
a. "The drug companies have not developed an oral form of this drug." b. "This drug can also be given by endotracheal tube in the ICU." c. "The drug in oral form would be destroyed by the liver making it ineffective." d. "This drug does not work when given by any other route."
The nurse is assigned to care for a client who has chosen to formula-feed her infant. The nurse will plan to instruct the client to:
1. Apply a heating pad to breasts for comfort. 2. Wear a breast shield to correct nipple inversion. 3. Wear a supportive brassiere continuously for 72 hours. 4. Use the manual breast pump provided to express milk.
Factors that differentiate dissociative amnesia from dissociative fugue include what?
A) In dissociative fugue, the person suddenly and unexpectedly leaves home or work and is unable to recall the past. B) In dissociative fugue, the person forgets the past three days' events. C) In dissociative amnesia, the person leaves abruptly. D) In dissociative amnesia, the person can recall events clearly unless they are more than 3 weeks old.