During the health history, a client tells the nurse that she is allergic to penicillin. In which area of the history should the nurse document this information?
1. Management of health
2. Activities of daily living
3. Psychosocial history
4. Demographic information
1
Areas included under management of health include allergies and any side or untoward effects to medications, food, or environmental substances. Allergies are not documented under activities of daily living, psychosocial history, or demographic information.
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When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse. What would be the nurse's best response to this behavior?
a. Be silent, and allow him to continue when he is ready. b. Smile at him and say, "Don't worry about all of this. I'm sure we can find out why you're having these pains." c. Lean back in the chair and ask, "You are looking at me kind of funny; there isn't anything wrong, is there?" d. Stand up and say, "I can see that this interview is uncomfortable for you. We can continue it another time."
The nursing assistant registry includes information about:
a. Prior education b. Children c. Marriages d. Findings of abuse, neglect, or dishonest use of property
The client is resuming a diet after hemigastrectomy. To minimize complications, the nurse would tell the client to avoid doing which of the following?
1. Lying down after eating 2. Drinking liquids with meals 3. Eating six small meals per day 4. Excluding concentrated sweets in the diet
The teacher refers a 9-year-old student to the school nurse for a sleep assessment. The student is often asleep in class and is failing in several areas. The teacher suspects the child is not getting enough sleep
The nurse finds out that the child is going to bed at midnight and getting up at 7 AM. Which of the following is the best action for the nurse to take? a. Have the child take a nap sometime during the day at school. b. Tell the child to get more sleep on the weekend to catch up on sleep. c. Ask the child to go to bed earlier at night, if at all possible, so the child won't fall asleep in class and will be able to pay attention. d. Talk to the family about a 9-year-old's need for 9 to 10 hours of sleep per night so the child will grow and can pay attention at school.