A patient describes breast swelling and tenderness. What data would be most important for the nurse to gather initially?
1. Timing of the symptoms
2. Birth control method
3. Method of breast self-examination
4. Diet history
1. Timing of the symptoms
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The nurse is assessing a woman in the immediate postpartum period. The patient's respiratory rate is 22 breaths/minute. The most important aspects of nursing care would be to do which of the following? (Select all that apply.)
A. Assess and provide pain management. B. Assess the patient's blood pressure and pulse. C. Increase the patient's fluid intake. D. Notify the provider for continued tachypnea. E. Provide ongoing physical assessment.
A client states "I'm going to be engaging in cognitive therapy. What can I expect from the
sessions?" Which responses by the nurse would be appropriate? (More than one answer may be correct.) A. "The therapist will be active and questioning.". B. "You may be given homework assignments.". C. "The therapist will help you look at ideas and beliefs you have about yourself.". D. "The goal is to increase your subjectivity about the thoughts that govern your behavior.".
When reconstituting liquid medications,
A. use any liquid available. B. select the strength that will allow the desired dose to be administered in the largest volume. C. use only sodium chloride. D. use only the liquid specified on the drug label.
An adult client has admitted to his nurse–therapist that he has sexual feelings toward children but claims that he has never acted on these feelings
He admits that such feelings cause him great anxiety and that no one, including his wife, knows about his struggle. In the care of this client, what outcome should the nurse prioritize? A) The client will refrain from sexual activity involving children or adolescents. B) The client will identify stressors that influence his sexual response. C) The client will report satisfaction with his current sexual relationship. D) The client will discuss his sexual concerns with his sexual partner.