The nurse must complete a focused, physical assessment on a client after coming to the unit from another floor. Before performing the cardiac assessment, the nurse should:
A)
Explain the procedure, then wait for permission to continue.
B)
Ask the client to stay quiet, since the nurse will be listening to the heart.
C)
Tell the client what the nurse is doing during the assessment.
D)
Take the baseline vital signs, then determine whether cardiac auscultation is necessary.
A
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Which of the following data collection approaches is most likely to use a topic guide?
A) A completely unstructured interview B) A focus group interview C) A critical incidents interview D) Participant observation
The patient has a hemoglobin of 8.5 g/dL and hematocrit of 27%. The nurse administers 2 units of packed red blood cells to the patient and repeats the labwork a few hours later. The new hemoglobin and hematocrit would be expected to be:
a. hemoglobin 7.5 g/dL and hematocrit 25%. b. hemoglobin 9.5 g/dL and hematocrit 29%. c. hemoglobin 10.5 g/dL and hematocrit 32%. d. hemoglobin 12.5 g/dL and hematocrit 36%.
A boy age 4 1/2 years has been having increasingly frequent angry outbursts in preschool. He is aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8 to 10 weeks. His parent asks the nurse for advice
What is the most appropriate intervention? a. Refer the child for a professional psychosocial assessment. b. Explain that this is normal in preschoolers, especially boys. c. Encourage the parent to try more consistent and firm discipline. d. Talk to the preschool teacher to obtain validation for behavior parent reports.
The nurse is assessing a patient for pain. Which question is best for the nurse to ask when determining aggravating factors for a patient's pain?
a. How long has the patient had pain? b. What increases the intensity of the pain? c. Where is the pain located specifically? d. What is the pain level on a scale of 0 to 10?