Mr. Williams, age 25 years, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away
Information concerning his chronic postnasal drip should be documented in which section of his history? a. Age-specific data
b. Past medical data
c. Past surgical data
d. Social history
B
Information concerning the patient's chronic postnasal drip is part of the past medical history.
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A nurse is suctioning a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of:
a. 1 minute b. 5 seconds c. 15 seconds d. 30 seconds
The patient is receiving antipsychotic medications and tells the nurse he has not had a bowel movement for 2 days. What is the best initial action of the nurse?
1. Hold the medication until the patient has a bowel movement. 2. Have the patient drink prune juice and additional fluids. 3. Contact the physician for an order for a Fleet Enema. 4. Contact the physician for an order for a stool softener.
Which of the following would be considered examples of subjective data? Select all that apply
A) Comments made by the patient's family. B) Description of a symptom by a patient. C) A mother telling a nurse what the baby looked like when he was very ill. D) A nursing assessment of the patient's vital signs. E) The physical exam notes made by the physician.
The patient asks the nurse why she needs to continue using table salt because her prescribed lithium (Eskalith) is a salt. What is the best response by the nurse?
1. "You must continue to use salt to avoid lithium (Eskalith) toxicity. If you use sea salt, you don't need as much." 2. "You must use table salt or your kidneys will retain lithium (Eskalith), and you will become toxic." 3. "The amount is not important; just increase your table salt if you notice signs of lithium (Eskalith) toxicity." 4. "Salt is very important to avoid lithium (Eskalith) toxicity, but not as important as drinking 1 to 1.5 L of water per day."