The patient tells the nurse, "I can never seem to get warm lately and decided to come to the clinic." The nurse records this under which section of the health history?
A) Past health history
B) Present health status
C) Reason for seeking care
D) Objective assessment data
C
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A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments?
A) Respiratory rate, seizure activity, and electrolytes B) Pain intensity, respiratory rate, and level of consciousness C) Liver function studies, pain intensity, and blood glucose level D) Respiratory rate, pain intensity, and mental status
A nurse is caring for a postoperative client who has developed peritonitis. An assessment finding that would require immediate action would be
a. a decrease in blood pressure of more than 15 mm Hg. b. an increase in urine output of more than 300 ml/day. c. pulse deficit of more than 20 beats/minute. d. weight gain of more than 5 pounds.
Patients with gastric ulcers may have burning pain after eating.
Answer the following statement true (T) or false (F)
A 60-year-old woman with acute chest discomfort requires 0.4 mg of sublingual nitroglycerin. Prior to administering the medication, you should:
A. ask her if she wears a transdermal nitroglycerin patch. B. determine to which hospital she wishes to be transported. C. assess her mucous membranes to ensure they are dry. D. ensure that her systolic BP is greater than 120 mm Hg.