In doing a physical assessment, a staff nurse must enter which zone of the patient's interpersonal space?
a. Personal zone
b. Social consultative zone
c. Public zone
d. Intimate zone
ANS: A
Personal space, 18 inches to 4 feet, is the area in which touching by family and friends and those in some counseling interactions is permitted. The preferred distance between people in the United States is 2 to 3 feet.
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What type of immunoglobulin does the nurse recognize that promotes the release of vasoactive chemicals such as histamine when a client is having an allergic reaction?
A) IgG B) IgA C) IgM D) IgE
A client is to be treated with a carbonic anhydrase inhibitor as a means to decrease intraocular pressure. What priority instruction should be included in the nurse's teaching plan?
a. Allow 5 to 10 minutes after instillation before using another medication. b. Provide strict fluid restrictions at all times. c. Provide environmental safety and seizure precautions. d. Encourage the client to sit in sunlight to enhance metabolism of the drug.
Healthy People 2010 has a companion guide, Rural Healthy People 2010, that includes national objectives related to rural health. This focuses on
1. Providing data on rural environments 2. Improving health for vulnerable populations 3. Dictating policy to local officials in rural areas 4. Translating national objectives to achievable community objectives
With regard to the initial visit with a client who is beginning prenatal care, nurses should be aware that:
a. The first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions. b. If nurses observe handicapping conditions, they should be sensitive and not inquire about them because the client will do that in her own time. c. Nurses should be alert to the appearance of potential parenting problems, such as depression or lack of family support. d. Because of legal complications, nurses should not ask about illegal drug use; that is left to physicians.