Every time the right arm is raised, a patient reports to the nurse that pain is triggered in the right shoulder. How should the nurse document this description?
a. Referred pain
b. Aggravating factor
c. Alleviating factor
d. Past experience with the pain
B
The aggravating factor that is causing pain is important information to gather by the nurse and to communicate specifically in the chart, as well as to the registered nurse.
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A patient is exposed to a viral infection. What role will interferon play based on this exposure?
A) It will stimulate B lymphocyte activity. B) It will interfere with stem cell multiplication. C) It will stimulate growth of lymphoid cells. D) It will interfere with virus replication.
A client is with a history of gastroesophageal reflux disorder (GERD) presents with metabolic alkalosis. Based on the data reviewed in the client's history, which medication does the nurse suspect contributed to the current diagnosis?
A) Aluminum hydroxide B) Omeprazole C) Ranitidine D) Metoclopramide
Which nutritional information should the nurse suggest to a pregnant patient who follows a vegetarian eating plan?
A) Include at least one serving of meat daily. B) Be careful not to eat more than four servings of fruit daily. C) Discontinue a vegetarian diet for the remainder of pregnancy. D) Anticipate needing a vitamin B12 supplement during pregnancy.
A child with myelomeningocele, corrected at birth,is now 5 years old. What is a priority nursing diagnosis for a child with corrected spina bifida at this age?
1. Risk for Altered Nutrition 2. Risk for Impaired TissuePerfusion–Cranial 3. Risk for Altered Urinary Elimination 4. Risk for Altered Comfort