An 18-year-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays
Which information is most important to report to the health care provider before the x-rays are obtained?
a. Severity of abdominal pain
b. Positive result of hCG test
c. Blood pressure 172/88 mm Hg
d. Temperature 102.1° F (38.9° C)
ANS: B
Positive hCG testing indicates that the patient is pregnant and that unnecessary abdominal x-rays should be avoided. The other information is also important to report, but it will not affect whether the x-rays should be done.
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An 82-year-old patient is being treated in the hospital for a sacral pressure ulcer. What age-related change is most likely to affect the patient's course of treatment?
A) Increased thickness of the subcutaneous skin layer B) Increased vascular supply to superficial skin layers C) Changes in the character and quantity of bacterial skin flora D) Increased time required for wound healing
The nurse is caring for a patient with hypertension who takes a thiazide diuretic. In addition, the patient recently was prescribed an angiotensin-converting enzyme (ACE) inhibitor
The nurse knows that the patient is knowledgeable about the two drugs when he says, "The ACE inhibitor a. should bring my blood pressure down further, because it is acting as a vasodila-tor." b. is preventing my heart from pumping so fast so I will have fewer palpitations." c. is increasing my angiotensin II so I can maintain a lower blood pressure." d. should help with my asthma, because it is causing my airways to dilate."
A 70-year-old tells a nurse, "I am worried that I'm losing my mind, I have difficulty remembering names as well as I used to, and I missed two health care appointments in the past month because I forgot about them."
The nurse initiates a memory training program, although the nurse has been unable to identify any risk factors that might affect the older adult's cognitive abilities. Which of the following questions is the best approach to evaluating the effectiveness of the memory training program? A) "Have you seen an improvement in your memory?" B) "Are you less worried about your memory now?" C) "How have the memory training techniques helped you?" D) "Are you using the memory training techniques now?"
A nurse visits a client living on a farm residency. Which area did the nurse visit?
a. A region that has fewer than six persons per square mile b. A home outside areas zoned as "city limits" c. A county in a metro area with fewer than 1 million people d. An area adjacent to a highly populated city