What assessment do you need to perform to evaluate his stuffy nose?
What will be an ideal response?
Obtain a complete description of his symptoms: location, quality, quantity, timing, setting, and
associated symptoms. Obtain vital signs and pulse oximetry. Perform a detailed assessment of the
respiratory system, focusing on manifestations of a respiratory tract infection.
You might also like to view...
Why is adenosine (Adenocard) given to a patient rapidly by intravenous (IV) push?
a. If given slowly, the heart rate will dramatically increase. b. When given slowly, the drug is eliminated before it can act on the heart. c. Slow administration can lead to tissue irritation and IV infiltration. d. The drug is given rapidly so that within a minute, second or third doses may be given if needed.
Ordered: Gentamicin 3 mg/kg/day in 4 divided doses in 50 mL D5W over 40 min. On hand: Injectable 2-
mL vial with 40 mg/mL. The patient weighs 169 lb. Use 20 gtt/mL tubing. The injection should be mixed with 50 mL D5W. The drop rate will be ___________. Fill in the blank(s) with correct word
A client's teenaged son recently committed suicide. She discovered her son's body and subsequently received a diagnosis of posttraumatic stress disorder. A nurse is helping her work through the trauma
Which nursing statement reflects the therapeutic technique of "placing the event in time or sequence?" A) "The day you discovered your son's body, you were arriving home from work. What happened then?" B) "Tell me about finding your son's body." C) "I notice you seem uncomfortable discussing this." D) "What is it that you would like to see change during your stay here?"
The nurse is visiting the home of a patient with a mental health disorder. What should the nurse ensure during this home visit? (Select all that apply.)
a. Status of suicide ideation b. Ability to provide self-care safely c. Patient's risk of falling in the home d. Number of family members who visit e. Compliance with prescribed medications