After interviewing your patient, you document "patient denies hoarseness, change in voice, dysphagia." In which sections of the review of systems is this information recorded?
a. nose and sinuses c. throat and neck
b. mouth d. gastrointestinal
C
Signs and symptoms such as hoarseness, change in voice, frequent sore throats, dysphagia, pain or stiffness, and enlarged thyroid are grouped in the throat and neck part of the body. Nose and sinuses include number of colds per year, discharge, itching, stuffiness, etc. Mouth includes dental habits, toothache, dentures, bleeding or swollen gums, caries, teeth extractions, etc. Gastrointestinal includes nausea, vomiting, diarrhea, constipation, etc.
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An older man who has HF complains of increasing dyspnea over 2 days. Which of the following should the nurse assess to help determine whether the patient has adhered to his therapy? (Select all that apply.)
a. Check for peripheral edema. b. Ask about his bowel pattern. c. Auscultate the lungs bilaterally. d. Compare his weight to baseline. e. Determine coughing frequency. f. Assess his diet over last 48 hours.
When discharging a schizophrenic patient who is taking haloperidol (Haldol), it is important for the nurse to advise the patient to:
A. Keep track of how much salt and water he or she consumes. B. Avoid exercise. C. Report any symptoms of tremors right away. D. Stop taking the medication if dry mouth develops and call the doctor immediately.
A nurse is reading the PPD test on the left arm of an inpatient client who was injected with the test material exactly 48 hours ago. The test area has a 4-mm diameter area of induration. What is the nurse's best action?
A. Institute airborne infection precautions immediately. B. Document the observation as the only action. C. Retest the client on the opposite arm. D. Re-examine the test site at 72 hours.
A 30-year-old patient is pregnant and states "I don't know how much longer I can stand this nausea and feeling so tired." Which of the following learning needs should the nurse address initially?
a. need for daily vita-mins c. labor and delivery b. infant care d. methods to cope with nausea