You are performing an initial assessment of a patient who has been admitted to your unit for a broken femur. On examination you find an area on the skin that has a raised, fine rash, which is red and itchy
The patient denies taking any prescription medication and denies any allergies. What would be an appropriate question to ask this patient at this time?
A) Is anyone in your family allergic to anything?
B) How long have you had this abrasion?
C) Do you take an OTC drugs or herbal preparations?
D) When you fell, did you land in poison ivy?
Ans: C
Feedback: If suspicious areas are noted, the patient is questioned about non-prescription or herbal preparations that might be in use. Ascertaining a family history of allergies would not give helpful information at this time. The scenario does not indicate that the patient has an abrasion or that the patient fell, so options B and D are incorrect.
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An oncological patient who complains of back pain should start physical therapy to treat the pain
A) True B) False
A critically ill patient has developed septic shock. What pattern of hemodynamic values does the nurse expect to find?
A) Low preload, high afterload, low cardiac index, tachycardia B) Low preload and afterload, high cardiac index, tachycardia C) High preload and afterload, low cardiac index, tachycardia D) Normal preload, low afterload, normal cardiac index, bradycardia
To help older adults maintain a healthy mental state, the nurse plans activities at a com-munity center to promote the developmental stages of older adulthood. Which nursing intervention is suitable for the nurse's plan?
a. Screen for communicable diseases common among older adults. b. Participate at a soup kitchen for other people who are homeless. c. Plan a safety program about falls, fire safety, and home security. d. Have speakers emphasize the need for isolated self-exploration.
The nurse manager has identified physical assessment skills lacking in a new registered nurse. Using goal-setting theory, which statement by the manager would be the most effective in enhancing the nurse's assessment skills?
1. "You need to work on your health assessment skills before your next employee evaluation." 2. "Get someone to help you with your health assessment skills by the end of the month." 3. "Read a health assessment book and practice your skills." 4. "Plan to study one body system a week and demonstrate your assessment skills to me every week."