Ms. S reports that she is concerned about her loss of appetite. During the history, you learn that her last child recently moved out of her house to go to college. Rather than infer the cause of Ms. S's loss of appetite, it would be better to:
a. defer or omit her comments.
b. have her husband call you.
c. quote her concerns verbatim.
d. refer her for psychiatric treatment.
C
It is best to document what you observe and what is said by the patient rather than documenting your interpretation. Listening and quoting exactly what the patient says is the better rule to fol-low.
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A nurse is preparing a patient for a procedure. Prior to the procedure, in which a neuromuscular blocking agent is to be used, the nurse evaluates the patient's electrolytes. Which abnormality would provoke the most concern for the nurse?
a. Hyponatremia b. Hypercalcemia c. Hypomagnesemia d. Hypokalemia
When providing labor support, the nurse knows that which fetal position might cause the laboring woman more back discomfort?
a. Right occiput anterior b. Left occiput anterior c. Right occiput transverse d. Left occiput posterior
Which assessment finding is considered a neurologic soft sign in a 7-year-old child?
a. Plantar reflex b. Poor muscle coordination c. Stereognostic function d. Graphesthesia
A nurse is assisting paramedics at the site of a large accident with many injured people. During the initial response, it is especially important to
A. Notify the media so they can assist in informing the community of what happened. B. Triage victims according to the severity of their injuries. C. Interview victims and witnesses to determine what happened. D. Notify clergy and mental health professionals to assist survivors at the site.