The nurse enters a patient's room and notes he is nauseous, vomiting, and experiencing abdominal pain, and has no bowel sounds
She concludes that the patient's symptoms may be associated with a paralytic ileus. In arriving at this conclusion, the nurse has used:
a. Inductive reasoning
b. Deductive reasoning
c. Guesswork
d. Diagnostics
ANS: A
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A home care nurse visits a 68-year-old man who lives alone and has no family and finds him tearful and withdrawn. The patient has been managing well at home up until this time. The nurse would take which of the following actions?
A) Reassess the patient's psychosocial status and make the necessary referrals. B) Have the patient volunteer in the community for social contact. C) Arrange for him to be reassessed by his physician. D) Encourage joining a group that plays cards every week.
A client with severe mental illness had been living independently in an apartment but was evicted
when the landlord became aware that the client was causing disturbances in the neighborhood as the result of responding to auditory hallucinations commanding her to report terrorists to the FBI. After a short hospitalization with discharge to a group home, the client regained her state of adjustment before relapse and attempted to rent her old apartment. The landlord told her he was not willing to risk "more trouble" if her "craziness" returned. The problem the client is experiencing is a. grief. b. stigma. c. homelessness. d. lack of parity in insurance coverage.
The nurse explains that the painful shingles experienced by the patient with HIV is related to his childhood exposure to:
1. measles. 2. mumps. 3. impetigo. 4. chickenpox.
A patient who has been taking an oral contraceptive asks about switching to a contraceptive patch. What finding would cause the nurse to discourage this change?
a. Withdrawal bleeding started earlier in the day. b. The pill has not caused side effects. c. The patient weighs more than 200 pounds (90 kg). d. The patient wants more children in the future.