Which of the following individuals would the nurse assess as being most at risk for altered family health?
A) an unmarried adolescent with a newborn
B) a newly married couple who ask about birth control
C) a middle-aged man and woman with no children
D) an older adult, living in an assisted-living community
A
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The nurse is administering an injection at the ventrogluteal site. On aspiration, the nurse notices that there is blood in the syringe. The nurse should:
1. Inject the medication 2. Pull the needle back slightly and inject the medication 3. Move the skin to the side and inject the medication slowly 4. Discontinue the injection and prepare the medication again
Amy Morgan is a home health nurse. Today is Amy's first visit to provide care for Alfred Richardson, a 76-year-old client who was just discharged following hip replacement surgery
Amy is aware that Alfred is at risk of injury related to falls. Appropriate suggestions to prevent falls that Amy could suggest would be all of the following except: 1. Install a grab rail in the bathtub and use nonskid mats in the tub and shower. 2. Remove low-lying objects (coffee tables and extension cords) and excess clutter (stacks of books or magazines). 3. Remove scatter rugs and small bathroom mats that can slide and repair loose or torn carpet. 4. Use low-watt bulbs (40 watt or less) that produce minimal glare to illuminate steps and entrances. 5. When getting out of bed, sit up, then wait a minute or two before trying to stand.
The nurse is providing care to a client who is diagnosed with hypertension. Which response by the nurse is an appropriate example of informational confrontation with the client?
A) "I noticed you rubbing your head and your eyes, are you hurting? Let's take your blood pressure." B) "I heard raised voices when I was coming down the hall to your room. Are you upset?" C) "It is 3 p.m. and time to take your blood pressure before I give you your medication." D) "Is the blood pressure medication making your head hurt?"
Which patient statement is typical of data collected on patients who have primary dysmenorrhea?
A) "Oral contraceptives have not helped my menstrual pain." B) "I have heavy and irregular menstrual flow." C) "Pain during menstruation began when I was 22 years old." D) "I have always had pain during menstruation."