The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's:
a. Level of consciousness
b. Ability to perform activities of daily living
c. Degree of reasoning, judgment, and thought processes
d. Level of functioning memory
B
This is an important point of assessment if the nurse is trying to determine the level of care necessary for this client. The other options also may be assessed at some point in the admission, but they do not make up the functional assessment.
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A patient inquires if this newer type of gastric analysis is going to require passage of a nasogastric tube. What is the nurse's most accurate reply?
a. "Yes, but just for the instillation of the dye." b. "No. You take a dye orally, which will be excreted in the urine in approximately 2 hours." c. "Yes. You will take the dye orally, and then several gastric withdrawals through the tube will show the dye." d. "Yes. Only one withdrawal will be made through the tube, which will be treated with dye and read in approximately 2 hours."
A patient taking tamsulosin (Flomax) asks how the drug works. What is your best response?
a. "This drug works on your prostate gland to decrease its size." b. "This drug signals the cells in your prostate gland not to grow." c. "This drug works by relaxing the detrusor muscle of your bladder." d. "This drug relaxes muscle around your urethra to improve urine flow."
Why were health system agencies (HSAs) discontinued? (Select all that apply.)
a. Consumers were not interested and would not become involved. b. People were afraid of federal control. c. The states refused to continue to fund such efforts. d. Nurses did not receive appropriate salary raises under HSAs. e. President Reagan was philosophically opposed to limits on the free market. f. Vested interest groups (AHA, AMA) opposed HSAs.
A patient is admitted to the emergency department with deep partial-thickness burns over 35% of the body. What IV solution will be started initially?
A. Dextrose 5% with saline solution B. Warmed lactated Ringer's solution C. Dextrose 5% with water D. Normal saline solution