The nurse is examining a client with a gonorrheal infection. Which is the priority action by the nurse?
A. Obtain history of sexual contacts.
B. Counsel regarding safe sex practices.
C. Document the findings.
D. Obtain a culture.
Answer: D
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The nurse knows that medication teaching has been ineffective when the client with an anxiety disorder states, "My SSRI isn't working. I've been on it for:
1. One week." 2. Four weeks." 3. 12 weeks." 4. Eight weeks."
The ICU nurse is caring for a patient with multiple organ dysfunction syndrome (MODS) due to shock. What nursing action should be prioritized at this point during care?
A) Providing information and support to family members B) Preparing the family for a long recovery process C) Educating the patient regarding the use of supportive fluids D) Facilitating the rehabilitation phase of treatment
A public health nurse is participating in a health promotion workshop and is teaching a group of high school students how to respond if a person suffers an apparent spinal cord injury. The nurse should instruct participants to:
A) Keep the victim's head in a neutral position at all times. B) Transfer the victim to a vehicle, and transfer him or her to the nearest hospital. C) Place the victim side-lying until help arrives. D) Rapidly assess the passive range of motion of the victim's neck.
What conditions can produce hyperventilation? (Select all that apply.)
a. Hysteria b. Narcotics c. Atelectasis d. Salicylate intoxication e. Mechanical ventilation