While examining a 14-year-old for spinal curvature, the nurse notes a slight curving of the upper spine, and documents it as which of the following?
1. Slight curve to the right noted in the superior thoracic spine.
2. Spinal column shows a slight curve to the right.
3. Spinal column appears to curve to the right.
4. Scoliosis noted on the spinal column.
1
Rationale: Documenting a slight curve to the right on the superior thoracic spine tells others exactly where the curve was noted. Stating that the spinal column shows a curve, or appears to curve, does not adequately describe the location of the defect. Scoliosis is a medical diagnosis, and nurses do not diagnose.
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The patient states, "I can't believe I am going to die. Why me?" What is the nurse's best response?
A) "I know how you are feeling." B) "You have lived a long life." C) "This must be very difficult for you." D) "Life can be so unfair."
A patient who has undergone skin, tissue, and muscle grafting following a modified radical neck dissection requires suctioning. What is the most important consideration for the nurse when suctioning this patient?
A) Avoid applying suction on or near the graft site B) Position the patient on his non-operative side with the head of the bed down C) Assess viability of the graft before beginning suctioning D) Evaluate the patient's ability to swallow saliva and clear fluids
A patient tells the nurse about having an affair that has been kept secret from the spouse for many years. The patient is feeling remorseful. What should the nurse's response be to this patient?
A) "What your spouse doesn't know won't hurt her. Try to forget about it.". B) "I can't help you with that, but how about we work together on your breathing exercises?" C) "Confession is good for the soul. Why don't you tell your spouse and get it off your chest.". D) "Everyone makes mistakes. Your feelings of remorse show how much you care for your spouse.".
The patient has blue eyes. During the interview with the nurse at the geneticist's office, the patient states that his mother has blue eyes and his father has brown eyes
Which statements by the nurse are accurate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "You have two identical alleles that are responsible for your eye color.". 2. "The alleles responsible for your eye color are heterozygous.". 3. "Your eye color is the result of an expressed gene.". 4. "Alleles are forms of a gene.". 5. "Your eye color is just one part of your phenotype.".