A patient with multiple trauma, including blunt trauma to the abdomen, is admitted to the critical care unit. The patient has unstable vital signs and is scheduled for immediate surgery
While completing the admission health history, what aspect would the nurse be most likely to defer until after the patient is stabilized?
A) Allergies
B) Diet preferences
C) Quality of abdominal pain
D) Location of abdominal pain
B
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A patient with diabetes is prescribed propranolol (Inderal). For what should the patient be assessed?
A) Hypercholesterolemia B) Hypermagnesemia C) Hypocalcemia D) Hypoglycemia
A patient has an irregularly shaped, brown to black lesion on the upper arm that has changed color recently. The widest diameter is 6 mm. You should:
A. Measure and record the dimensions and schedule follow-up to repeat measurement in 2 weeks B. Biopsy the lesion C. Obtain skin scraping for dermatophytes D. All of the above
A client, paralyzed from the neck down, is constantly criticizing the nurses who can do nothing to please her. What is the most appropriate nursing diagnosis for this client?
a. Ineffective individual coping b. Anxiety c. Powerlessness d. Altered role performance
The physician has prescribe Haldol for a client experiencing dementia. The client's daughter is concerned about side effects. The nurse knows that it is important to advise the client's daughter on which one of these side effects?
a. hypertension c. cardiovascular events b. extrapyramidal symptoms d. increase in severity of delirium