The nurse is talking with the family of a mentally ill client who lives with them. The client is being admitted to the inpatient psychiatric unit. What is the priority information to gather from the family?
1. Whether the client had a flu shot recently
2. The number of medications prescribed for the client
3. How the client's symptoms are expressed at home
4. The type of soap the client prefers to use
3
Rationale: The most important information to be obtained from the family at the time of admission is how the symptoms of the client's illness are being expressed at home. This would be closely aligned to the chief complaint and provides a baseline for monitoring. The other information may be needed, but it is not the most important at the time of admission.
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a. Explain the pathophysiologic reasons behind the client not eating. b. Help the family show other ways to demonstrate love and caring. c. Suggest foods and liquids the client might be willing to try to eat. d. Tell the family the client isn't able to eat now no matter what they bring.
A child with human immunodeficiency virus (HIV) also has oral candidiasis. Mouth care for this child should be with:
1. Normal saline. 2. Listerine. 3. Scope. 4. Viscous lidocaine.
What dietary recommendations should the nurse make to an older adult male regarding intake of linoleic acid?
1. It is so widely available in foods that it is not a concern for healthy adults 2. A minimum of 10 grams a day is required for good health 3. It should be no more than 5% to 8% of daily caloric intake 4. About 17 grams per day will be sufficient
How will the nurse assess for flank tenderness in a 30-year-old female patient with suspected pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column. b. Strike a flat hand covering the costovertebral angle (CVA). c. Push fingers upward into the two lowest intercostal spaces. d. Percuss between the iliac crest and ribs along the midaxillary line.