A female client has been admitted to the acute care unit with complaints of abdominal pain, nausea, and vomiting
During the interview the nurse determines the client's history includes pelvic inflammatory disease, mitral valve prolapse, and childbirth. The assessment finds the client's vital signs to be within normal limits. When analyzing the available data, what items should be clustered together? 1. Vital signs, complaints of pain history of childbirth
2. Abdominal pain, nausea, vomiting, and history of pelvic inflammatory disease
3. Gender, history of mitral valve prolapse, and vital signs
4. History of pelvic inflammatory disease, mitral valve prolapse, and pain scale reports
2
Rationale 1: The analysis of assessment data includes clustering or grouping related pieces of information. There is no obvious relationship between these pieces of information.
Rationale 2: The analysis of assessment data includes clustering or grouping related pieces of information. The client's complaints of abdominal pain, nausea, vomiting, and history of pelvic inflammatory disease are interrelated items.
Rationale 3: The analysis of assessment data includes clustering or grouping related pieces of information. There is no obvious relationship among these pieces of information.
Rationale 4: The analysis of assessment data includes clustering or grouping related pieces of information. There is no obvious relationship among these pieces of information.
You might also like to view...
An older adult's unexplained weight loss of 15 pounds over the past 3 months has prompted a thorough diagnostic workup. What is the nurse's rationale for prioritizing biochemical assessment when appraising a person's nutritional status?
A) It identifies abnormalities in the chemical structure of nutrients. B) It predicts abnormal utilization of nutrients. C) It reflects the tissue level of a given nutrient. D) It predicts metabolic abnormalities in nutritional intake.
A student is learning about cutaneous skin reactions. Which description is correct?
A. Blistering: heat-related B. Exanthema: an eruption C. Pustular: contagious D. Urticarial: round patches
The nurse caring for a patient with colorectal cancer is explaining to the patient that it is time to begin preparing for surgery that will occur on the following day
The nurse prepares to administer cephalexin (Keflex) to the patient. What would the nurse inform the patient that the goal of antibiotic administration prior to surgery is? A) Treat any undiagnosed infections. B) Reduce the intestinal bacteria. C) Assist in digestion after surgery. D) Reduce abdominal distention.
A group of nursing students are doing their first clinical rotation in a long-term care facility. The nurse educator, in meeting the needs of this particular client group, reminds students to:
A) Treat this group of clients with a different level of respect than younger clients. B) Do all cares for the clients, since they're unable to do them independently. C) Always remember that the client's self-respect must be maintained in all interactions of the students. D) Make sure the clients' cares are done in a timely manner, and sometimes that means doing things for the client.