When teaching a 15-year-old patient with diverticulitis about foods that should be avoided, a nurse takes the stage of growth and development into consideration. Which factor or variable did the nurse take into consideration?
a. Cultural factor
b. External variable
c. Socioeconomic factor
d. Internal variable
D
Internal variables include a person's stage of growth and development, intellectual background, emotional factors, and spiritual factors. External variables include family practices, socioeconomic factors, and cultural background.
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When assessing the apical-radial pulse using the two-nurse method, the nurses include which of the following? Select all that apply. Standard Text: Select all that apply
1. Place the client supine with the HOB elevated 30 degrees. 2. Locate the PMI and radial pulses. 3. Locate the femoral pulses. 4. Each nurse counts for 30 full seconds. 5. Each nurse utilizes his own watch.
A woman was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. The nurse makes the following observations about the client. She is talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make simple decisions. The client's level of anxiety can be assessed as a. severe. b. moderate. c. mild. d. nonexistent.
A patient experiencing occasional minor digestive problems asks the nurse about herbal therapy. Which herbs would the nurse recommend?
1. Tumeric 2. Green tea 3. Ginger 4. Grape seed 5. Stevia
A nurse is performing a physical examination on an older-adult client in an assisted living facility. On completion of the examination, the nurse compares the results to findings expected for indi-viduals in this age-group
An expected finding for this client is: 1. Increased tactile responsiveness 2. Increased sensitivity to visual glare 3. Increased hearing acuity for higher tones 4. Increased thoracic expansion during ventilation