When caregivers ask the client about his appetite, diet, and bowel function, they are performing a(n)
1. review of systems.
2. physical assessment.
3. review of history.
4. emotional assessment.
1
The holistic assessment also includes a review of each body system and its functioning.
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The nurse is caring for a patient who has been vomiting for 3 days. On which potential acid–base and electrolyte complications should the nurse focus when caring for this patient?
Select all that apply. 1. hypokalemia 2. metabolic alkalosis 3. metabolic acidosis 4. hypocalemia 5. hyponatremia
The nurse cannot palpate a client's pedal pulse following an open reduction internal fixation (ORIF) procedure for a fractured tibia. Which action is the priority intervention?
1. Use a Doppler to find the pedal pulse. 2. Notify the surgeon of the problem. 3. Check the lower extremity for pallor. 4. Assess the client's pain rating.
During the first 24 hours after a patient has received fibrinolytic therapy, which of the following is a priority nursing intervention?
1. administer pain medications 2. maintain strict intake and output 3. monitor level of consciousness 4. assess for pulmonary emboli
In preparation for a bone scan, the nurse informs the patient that:
A) The test is brief and requires that you drink an IV contrast solution. B) You will not be allowed fluid for 2 hours before and 3 hours after the test. C) Fluids will be encouraged after the administration of the radioisotope injection. D) There are no contraindications for this test.