Describe the assessment you would need to perform to differentiate what might be occurring
with S.K.
What will be an ideal response?
• Thoroughly assess her current complaint. Have her describe the length of time she has had
symptoms, any associated symptoms, and whether she ever experienced these symptoms before.
• Obtain a complete menstrual, obstetric, sexual, and contraceptive history.
• Assess for signs of anemia and hypovolemia: Ask if she feels lightheaded, fatigued, short of breath,
or dizzy. Observe her general appearance, vital signs, and skin, noting the color and moisture.
• Assess for the cause of the bleeding, noting any signs and symptoms of bleeding disorders,
including bruising and petechiae.
• Assess the abdomen for tenderness, rigidity, or masses. Auscultate bowel sounds.
• Assist the provider with a gynecologic exam with Pap test, bimanual examination, and rectal
examination.
• Additional information should be obtained regarding comorbidities and medications taken. Ask
about illnesses, changes in weight or nutritional intake, exercise, and drug ingestion.
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The nurse is caring for a patient who is receiving total parenteral nutrition (TPN). The nurse knows she should change the tubing every:
a. 72 hours. b. 48 hours. c. 24 hours. d. 12 hours.
The nurse providing care to a 36-year-old patient who has been diagnosed with squamous cell lung cancer is aware that the preferred method of treating patients with non-small cell tumors is:
A) Chemotherapy B) Radiation C) Surgical resection D) Bronchoscopic opening of the airway
A clinical instructor is assisting a student understand the nurse-client relationship. In which order should the instructor introduce the phases of this process?
1. Old needs and goals are put aside and new ones are adopted. 2. The client uses the available services on the basis of self-interest and needs. 3. The nurse assists the client to understand the problem and the extent of the need for help. 4. The nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the client's situation.
A patient has been taking a potassium channel blocker for 4 weeks. Which statements would indicate to the nurse that additional time for teaching about the medication should be planned?
1. "I got some sunglasses like you said. Do you like them?" 2. "Do you have any idea what this rash on my neck and arm is?" 3. "I must be getting cataracts. I can't see anything anymore." 4. "I wear sunscreen whenever I am outdoors." 5. "I think that medicine is making my hair gray."