Which situation is most appropriate during which the nurse performs a focused or problem-centered history?
a. Patient is admitted to a long-term care facility.
b. Patient has a sudden and severe shortness of breath.
c. Patient is admitted to the hospital for surgery the following day.
d. Patient in an outpatient clinic has cold and influenza-like symptoms.
ANS: D
In a focused or problem-centered data base, the nurse collects a "mini" data base, which is smaller in scope than the completed data base. This mini data base primarily concerns one problem, one cue complex, or one body system.
You might also like to view...
A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
a. Flexion. b. Abduction. c. Adduction. d. Extension.
The nurse is caring for a patient with a diagnosis of hypoproliferative anemia. When planning this patient's care, the nurse should be aware that this type of anemia is due to what?
A) Lack of production of red blood cells (RBCs) B) Loss of RBCs C) Injury to the RBCs in circulation D) Abnormality of RBCs
A 20-year-old college student has been admitted to the emergency department after taking an overdose of Tylenol. Which of the following nursing diagnoses should be prioritized in the care of this client after she is medically stabilized?
A) Impaired Social Interaction related to alienation secondary to depressive behavior B) Hopelessness as evidenced by recent suicide attempt C) Risk for Violence, Self-Directed, related to recent suicide attempt D) Ineffective Coping as evidenced by recent suicide attempt
To minimize the nephrotoxicity associated with intravenous acyclovir, the nurse will:
1. provide a low-protein diet for 1 day before and 2 days after the acyclovir infusion. 2. infuse hydration during and for 2 hours after the acyclovir infusion. 3. restrict oral fluids on the day of the acyclovir infusion. 4. withhold the infusion if there is any concern about potential elevations in BUN.