While conducting a comprehensive health history, the nurse asks a patient to describe a typical day's diet. This information is important for the nurse because it assesses the patient's:
A) Throat
B) Nutritional health pattern
C) Gastrointestinal status
D) General health status
B
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A nurse is caring for a patient with a Foley catheter. What actions should the nurse implement to decrease this patient's risk for infection? (Select all that apply.)
a. Keep the bag below the level of the bed. b. Provide perineal care twice a day. c. Flushing the tubing as needed. d. Using standard precautions when handling urine and tubing. e. Keep the drainage system open.
The nurse is preparing for oculocephalic reflex testing of a patient who may be brain dead. Which equipment should the nurse gather?
1. Reflex hammer 2. Cold water 3. Syringe 4. Hydrogen peroxide 5. A tongue blade
A patient has a chest tube inserted for a pneumothorax. What should the nurse expect when assessing the drainage system?
1. periodic bubbling in the water seal chamber immediately after insertion 2. no evidence of tidaling 3. vigorous bubbling in the suction control chamber 4. large amount of bloody drainage in the drainage collection chamber
The nurse caring for a client receiving heparin (Hep-Lock) monitors the patient for what serious complication that occurs in up to 30% of patients taking the drug?
1. Tachycardia 2. Hypotension 3. Angioedema 4. Heparin-induced thrombocytopenia (HIT)