Which nursing intervention is an example of primary prevention?
A) Providing a workshop on sex education class for teenagers
B) Medicating an acutely agitated client
C) Conducting a couples counseling session
D) Training a severely mentally ill client how to write a check
A
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Which situation indicates the nurse needs additional training on effective delegation?
1. The charge nurse tells the unlicensed assistant to help prepare rooms for new clients. 2. The office nurse calls in orders for admission on a client following a surgical complication. 3. A rehabilitation nurse asks a physical therapy assistant to assist a client with ambulation around the facility. 4. A home health nurse calls the office and asks another nurse to make the visit on her next client.
A patient has recently suffered a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely?
a. Use a straw b. Tuck chin when swallowing c. Take a sip of liquid with each bite d. Turn head to the left
Many of the people released from asylums became:
a. homeless b. famous c. newly integrated into society d. wage earners
What disorder of the chest best describes this disorder?
A 36-year-old teacher presents to your clinic, complaining of sharp, knifelike pain on the left side of her chest for the last 2 days. Breathing and lying down make the pain worse, while sitting forward helps her pain. Tylenol and ibuprofen have not helped. Her pain does not radiate to any other area. She denies any upper respiratory or gastrointestinal symptoms. Her past medical history consists of systemic lupus. She is divorced and has one child. She denies any tobacco, alcohol, or drug use. Her mother has hypothyroidism and her father has high blood pressure. On examination you find her to be distressed, leaning over and holding her left arm and hand to her left chest. Her blood pressure is 130/70, her respirations are 12, and her pulse is 90. On auscultation her lung fields have normal breath sounds with no rhonchi, wheezes, or crackles. Percussion and palpation are unremarkable. Auscultation of the heart has an S1 and S2 with no S3 or S4. A scratching noise is heard at the lower left sternal border, coincident with systole; leaning forward relieves some of her pain. She is nontender with palpation of the chest wall. A) Angina pectoris B) Pericarditis C) Dissecting aortic aneurysm D) Pleural pain