Mrs. James comes to her healthcare provider's office because she is having abdominal pain. She has been seen for this problem before. What type of assessment would the nurse do?
A) initial assessment C) emergency assessment
B) focused assessment D) time-lapsed assessment
B
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A patient presents with massive colonic dilation in the absence of mechanical obstruction, with electrolyte imbalance. Which of the following would be the most appropriate initial nursing intervention for this patient?
A) Administer a laxative. B) Encourage the patient to walk around his room. C) Monitor the patient's heart. D) Prepare the patient for colonoscopy.
A clinic nurse is assessing a client who is experiencing crisis. The nurse needs to determine the client's immediate needs. Which is the priority action by the nurse?
A) Scan for physical distress. B) Explore perceptions of the crisis. C) Develop a follow-up plan. D) Assess for immediate safety needs.
Spontaneous termination of a pregnancy is considered to be an abortion if
a. The pregnancy is less than 20 weeks. b. The fetus weighs less than 1000 g. c. The products of conception are passed intact. d. No evidence exists of intrauterine infection.
Which safety precaution is most important for the nurse to teach an older adult who is prescribed chlorpromazine (Thorazine)?
a. "Avoid going barefoot, even in the house." b. "Change positions slowly when rising to stand." c. "Drink plenty of water to avoid having to strain during a bowel movement." d. "Use a thermometer to check the temperature of your bath or shower water to avoid a scald injury."