The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
B) Thorax and lungs
The thorax and lungs are part of the physical examination, not part of the health history. The
others answers are all part of a complete health history.
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A patient who is being mechanically ventilated has been prescribed hydrocortisone for treatment of adrenal insufficiency. Which nursing intervention should be implemented?
1. Range of motion exercising 2. Monitor urine for onset of cloudiness 3. Increase monitoring for thrombus development 4. Mix all IV medications in D5W for administration
Which comment by a client who is pregnant indicates a need for further teaching?
a. "I have been walking two miles every day for the last 3 years, and I plan to try to increase my walking during pregnancy." b. "I never liked milk, but I have started adding more cheese and other dairy products to my diet instead." c. "I used to douche once a week prior to pregnancy, but now I have stopped." d. "My husband and I used to have wine every night for dinner; we only have it once a week now."
A child has the following ABG results: pH: 7.38 pCO2: 52.6 HCO3: 32.5 The nurse interprets these results as:
1. Compensated Respiratory Acidosis. 2. Uncompensated Respiratory Alkalosis. 3. Compensated Respiratory Alkalosis. 4. Uncompensated Respiratory Acidosis.
The nurse is caring for a patient who is experiencing severe depression. In which way should the nurse best help the patient find meaning in the experience of suffering from mental illness?
1. Suggest answers when the patient questions the meaning of life. 2. Listen and be present when the patient questions the meaning of life. 3. Listen and offer answers when the patient questions the meaning of life. 4. Encourage the patient to discuss well-formulated answers to the meaning of life.