A client is admitted to the postoperative unit in the acute care hospital. The nurse gathers data using inspection, such as: Standard Text: Select all that apply
1. Color of the skin and mucous membranes.
2. Nail bed color.
3. Hair growth.
4. Respiratory rate.
5. Fragility of bones.
1,2,3,4
Rationale: The color of body surfaces can be assessed using visual inspection.
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What is the main action of antiemetics?
A) Altering central nervous system (CNS) actions to decrease perception of nausea B) Speeding up the gastrointestinal (GI) tract so the stomach empties rapidly C) Depressing hyperactive vomiting reflex D) Changing the perception of motion in motion sickness
An adolescent reports the following: "I get up at 6 a.m., I attend early-morning band classes three times each week, I play sports for two hours each day after school, and homework takes me three hours each night. I always feel tired."
During assessment of this client, the priority history question for the nurse to ask is which of the following? 1. How many hours of sleep do you get each night? 2. Do you consume foods high in iron? 3. Do you think you are doing too much? 4. Have you considered talking with your teachers about decreasing your homework, since you have so many extracurricular activities?
Which of the following is NOT a nursing intervention to promote a client's positive self-concept?
a. Listen to the client's self description. c. Refrain for taking risks. b. Maintain realistic goals. d. Involve client in decision making.
During preoperative assessment, the patient says, "My surgery must be minor because it's being done on an outpatient basis.". How should the nurse respond?
1. "Every surgical procedure is serious, and I will make sure you have the information you need for a successful recovery.". 2. "You are right.". 3. "If it were more serious, you would be admitted to the hospital.". 4. "Your insurance plan does not cover inpatient surgical procedures. That's why your surgery is being done on an outpatient basis.".