The nurse is preparing to begin a physical examination for a patient with open lesions on the lower extremities. Which should the nurse evaluate during the physical assessment? (Select all that apply.)
a. Blood test results
b. X-ray results
c. Recent vital signs
d. Patient's health history
e. Subjective data
ANS: A, B, C
On completion of the patient interview, health history, and review of systems, the nurse begins the physical assessment. During the physical assessment, the nurse collects objective data. If diagnostic tests, such as blood tests or x-rays, were ordered before the patient was seen, the results are reviewed by the nurse. Vital signs are taken and recorded at the beginning of the physical examination.
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a. She may need to increase her dose of phenytoin while taking oral contracep-tives. b. She should consider a different form of birth control while taking phenytoin. c. She should remain on oral contraceptives, because phenytoin causes birth defects. d. She should stop taking oral contraceptives, because they reduce the effectiveness of phenytoin.
A new mother asks the nurse how to determine if the baby is receiving enough breast milk. What response should the nurse make to the mother?
A) "The infant should not become constipated.". B) "The infant should sleep at least 3 hours between feedings.". C) "You need to weigh the infant before and after each feeding.". D) "The infant should gain weight and have six wet diapers daily.".
A patient with a respiratory bacterial infection asks why a sputum sample is being collected before starting antibacterial drug therapy. What is your best response?
a. "Drug therapy for lung infections works better when less sputum is present." b. "A sputum sample will help us determine what bacteria is causing your infection." c. "The test will determine whether you already have any damage in your lung tissues. d. "The dosage of your antibacterial drug is determined by the organism that is causing your infection."
A nurse utilizing a theory to base practice engages the client in definitions of terms such as the theory of healthiness, the theory of participation, and the theory of energetic patterning
Which of the following theorists include the assumptions of the three theories above? A) Margaret Newman B) Susan Leddy C) Callista Roy D) Dorothea Orem