The nurse is reviewing a patient's activities of daily living. Which of the following would be included in this data?
a. Nutrition c. Environmental aller-gies
b. The home environ-ment d. Current medications
A
The activities of daily living portion of an assessment includes nutrition, elimination, rest/sleep, and activity/exercise. The home environment is included in the sociocultural history. Environmental allergies are included in the allergies portion of the assessment. Current medications would be included within the medication history.
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You have received a patient in the emergency department exhibiting dyspnea, hypoxia, tachypnea, chest pain, and hemodynamic instability. What would you expect this patient's diagnosis to be?
A) Hyperpyrexia B) Asthma C) Blast lung D) Ruptured spleen
The nurse is reviewing the white blood cell count differential for a patient and notes that the basophil count is elevated. What should this laboratory value indicate to the nurse?
1. The patient is experiencing an acute hypersensitivity reaction. 2. The patient has a gastrointestinal infection. 3. The patient is fighting a tuberculosis infection. 4. The patient is fighting cancer.
Which assessment finding is most consistent with an IV infusion that has infiltrated?
a. a reddened area c. a red stripe along the vein b. warmth along the vein d. a cool area near the infusion site
The nurse is caring for a patient with endometritis. When the patient asks where her infection is located, the nurse explains that the infection is located in which area(s)? (Select all that apply.)
a. Endometrial lining b. Decidua c. Lymph nodes d. Myometrium e. Peritoneum