The nurse is planning to perform a physical assessment on an adult client. Prior to the assessment, which should be the nurse's first action?
A. Wash hands in the presence of the client.
B. Provide a gown for the client to change into.
C. Explain to the client what will happen during the examination.
D. Obtain a written consent.
Answer: C
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While taking a prenatal history, the nurse would be most concerned about severe teratogenic effects on the fetus if the mother admits to taking which medications prior to finding out that she was pregnant
Select all that apply. A) Warfarin (Coumadin) for chronic atrial fibrillation B) Ethyl alcohol ingestion regularly every weekend and some nights throughout the week C) Isotretinoin (Accutane) for acne D) Over-the-counter cetirizine (Zyrtec) for seasonal allergies E) Tetracycline for acne
The nurse is planning a teaching session for a female patient who had a urinary tract infection (UTI). Which point should the nurse include?
A) Limit fluid intake to reduce the need to urinate. B) Take prescribed antibiotic until symptoms subside. C) Notify the physician if urinary urgency, burning, frequency, or difficulty occurs. D) Wear only nylon underwear to reduce the chance of irritation.
The nurse determines that a fetal nonstress test is nonreactive for over 20 minutes. What does the nurse realize as being reasons for this finding? (Select all that apply.)
A) The patient is sleeping. B) The patient is hypoglycemic. C) The patient is using an illicit drug. D) The patient is exercising too much. E) The patient is smoking while pregnant.
A client asks the nurse if it is possible for a vegetarian to consume too much fat. The nurse replies:
1. "Yes, because they often use too much oil or fat while cooking or sautéing vegetables.". 2. "No, because they use complementary proteins which are low in fat.". 3. "Yes, because they may consume non-meat or dairy foods that are high in fat.". 4. "No, because they tend to consume only plant-based, healthy fats.".