Which statement by the nurse demonstrates a patient-centered interview?
a. "I need to complete this questionnaire about your medical and family history."
b. "The hospital requires me to complete this assessment as soon as possible."
c. "Tell me about the symptoms you've been having."
d. "I've had the same symptoms that you've described."
ANS: C
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A client with PIH experiences a total abruption and has an emergency cesarean section. Her infant is stillborn. In the recovery room, her dressing becomes saturated with blood. The nurse should
a. check the blood pressure c. mark and reinforce the dressing b. increase the IV fluids d. notify the physician
A patient in active labor requests an epidural for pain management. What is the nurse's priority action for this patient?
a. Assess the fetal heart rate pattern over the next 30 minutes. b. Take the patient's blood pressure every 5 minutes for 15 minutes. c. Determine the patient's contraction pattern for the next 30 minutes. d. Initiate an IV infusion of lactated Ringer's solution at 2000 mL/hr over 30 minutes.
Serving midmorning snacks is not a priority if you are very busy.
Answer the following statement true (T) or false (F)
The nurse has taken a client's blood pressure and recognizes that several factors may cause an increased blood pressure reading. Of those below, the factors that may cause the blood pressure to increase include ____________________
(Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. The client rates pain at a level of 7 on a scale of 0 to 10. 2. The cuff was reinflated before being completely deflated. 3. The client drank cold milk just before the reading. 4. The time of day is late afternoon. 5. The cuff is too wide for the extremity. 6. The nurse deflates the cuff too rapidly during the reading.