The nurse is conducting a health history for a client newly admitted to the hospital. Which question by the nurse is open-ended?
1. "Are you in pain?"
2. "Do you have difficulty sleeping?"
3. "Are you married?"
4. "When was your last tetanus shot?"
Correct Answer: 4
Open-ended questions cannot be answered with a simple "yes," "no," or "maybe." These questions gather specific information on a topic through the process of inquiry.
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The nurse is assessing the cardiovascular status of an elderly client. Which of the following changes is expected to occur as a natural part of the aging process?
a. Increased elasticity of heart muscle b. Increase in systolic blood pressure c. Increase in arterial diameter d. Thinning of venous walls
The nurse asks you to check an IV flow rate. You need to tell the nurse at once if no fluid is dripping or if the rate is too fast or too slow
Indicate whether the statement is true or false
The nurse is caring for laboring patients. Which women are experiencing problems related to a critical factor of labor?
1. Primip at 7 cm, fetus in military attitude 2. Multip at 3 cm, fetus in longitudinal lie 3. Primip at 4 cm, fetus with macrocephaly due to hydrocephalus 4. Multip at 6 cm, fetus at ?2 station, mild contractions 5. Primip at 5 cm, fetal presenting part is right shoulder
A nurse is performing a gestational age assessment on a newborn. The nurse determines that the newborn is "term" if which findings are assessed? (Select all that apply.)
a. Posture with fully flexed arms and legs b. Arm recoil brisk c. Square window at 90 degrees d. Scarf sign of elbow crossing over the midline e. Popliteal angle less than 90 degrees