Which question is the most appropriate to learn about a patient's religious practices?
a. "How often do you go to church?"
b. "Where is your church located?"
c. "Do you mind telling me about your religion?"
d. "Do you have any specific religious or spiritual practices or beliefs?"
ANS: D
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Which of these communication techniques BEST illustrates how a nurse can assess a client's orientation status?
a. "Tell me what month and day of the week it is." b. "Did you know you were in the hospital?" c. "Hello, Mrs. Smith. I am Emily, your nurse today. Can you tell me your name?" d. "My, what a pretty gown. Where did you get it?"
The nurse is caring for a patient who is receiving intravenous dopamine (Intropin). The nurse notes erythema and swelling at the IV insertion site. What is the nurse's initial action?
a. Apply warm soaks to the area. b. Monitor the patient closely for hypertension. c. Obtain an order for an electrocardiogram. d. Notify the provider of a need for phentolamine mesylate (Regitine).
What teaching should the nurse anticipate for a client who has initiated the use of herbal supplements?
1. Providing a variety of places to purchase their supplements 2. Discontinuation of other medications 3. Beginning with the lowest recommended dose 4. Eliminating the supplement from the diet so as not to cause toxicity
The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome when what is assessed?
1. Client is unable to focus on activities and events. 2. Client is exhausted, and spends time sleeping. 3. Localized swelling and inflammation of a leg wound. 4. Capillary blood glucose level 180 mg/dL.