The nurse working in a long-term care facility notes a client has been listless for the past few days. When questioned, the client reports mouth pain. The nurse looks into the client's mouth and assesses the teeth, gums, and tongue
What actions should the nurse should take at this time? Select all that apply.
A) Encourage the client to gargle.
B) Review vital signs.
C) Assess respiratory status.
D) Review the client's tooth brushing routine.
B, C
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The nurse is caring for a critically ill patient and completes a gastrointestinal assessment every 4 hours. What is the best rationale for this nursing action?
A) Part of routine care for all critically ill patients B) Ordered by the physician for this patient C) Satisfies the nurse's curiosity D) Early identification of changes guides treatment decisions
A nurse is performing an admission assessment on a client with AIDS. Which question does the nurse ask to identify a major risk factor for developing AIDS?
1. "Have you ever experimented with recreational drugs?" 2. "How long have you had AIDS?" 3. "Does your partner have AIDS?" 4. "Have you had any fever, diarrhea, or chills over the last 48 hours?"
A patient is prescribed a medication and asks the nurse if the drug is available in a generic form. The nurse understands that a generic medication will have a name that
a. is a registered trademark. b. is always capitalized. c. describes the drug's chemical structure. d. is non-proprietary.
When taking a pulse, the pattern you feel is called the
A) quality. B) rate. C) character. D) rhythm.