A 77-year-old female client is admitted to the hospital. She is confused, has no appetite, is nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43 beats per minute. Which question is a priority for the nurse to ask this client or her family on admission? "Does the client
A) have her own teeth or dentures?"
B) take aspirin and if so, how much?"
C) take nitroglycerin?"
D) take digitalis?"
Answer: D) take digitalis?"
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The nurse has taught a 23-year-old patient how to perform a testicular self-examination. Which statement by the patient indicates the need for further teaching?
a. "The testes feel smooth and egg-shaped." b. "The best time to perform TSE is after a shower." c. "The best time to perform TSE is just before intercourse." d. "The epididymis feels like a soft tube."
Which of the following are causes of hyperreflexia? (Select all that apply.)
a. Cold stirrups b. Standard scale c. Insertion of a speculum d. Fever e. Pressure during bimanual exam
Corrine, a student nurse, often hears that nurses are gatekeepers and wonders what that term means. As a nurse leader, you explain that this is a reference to the:
a. Assessment and admission of patients into care. b. Orientation of patients to services once they are admitted. c. Function of controlling which patients see the physician and which do not. d. Coordination of care, services, advocacy, and access for patients within the healthcare system.
Adapting the environment to meet a patient's needs is called providing ____________________.
Fill in the blank(s) with the appropriate word(s).