A community health nurse is staffing a booth at a health fair that has been sponsored by a local community center
In the course of the day, the nurse has engaged with many members of the public, several of whom have disclosed their current health complaints to the nurse. Which of the following statements should prompt the nurse to encourage the individual to be screened for diabetes?
A) "I've been getting sudden, bad headaches over the past few weeks, usually in the middle of the day."
B) "Lately, I just can't seem to quench my thirst no matter how much I drink."
C) "Sometimes, when I'm working at my desk, it feels like my heart just skips a beat and then goes back to normal."
D) "I never used to be one to get indigestion, but now I seem to get an upset stomach very easily."
B
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A patient comes to the emergency department with an acute myocardial infarction. An electrocardiogram shows a heart rate of 116 beats/minute with frequent premature ventricular contractions
The patient experiences ventricular tachycardia and becomes unresponsive. After resuscitation, the patient moves to the intensive care unit. What is the priority nursing diagnosis for this patient? A) Impaired physical mobility related to complete bed rest B) Deficient knowledge related to emergency interventions C) Social isolation related to restricted family visits D) Anxiety related to the threat of death
A client refuses a p.o. medication and provides the nurse with a reason for refusing the medication. What should the nurse's action be?
a. Inform the client they cannot refuse a medication. b. Report it to the nurse manager. c. Administer the medication by an injectable route. d. Document the refusal and inform the prescriber.
The client is postoperative day one after surgery to the right knee and the surgeon wants the client to crutch-walk using the three-point gait. Which does the nurse correct for the client when ambulating with crutches?
1. Moves the right crutch first, left crutch second, and right leg last. 2. Begins in the tripod position and bears all weight on left leg. 3. Slips three fingerbreadths between crutch padding and client's axilla. 4. Flexes elbows at approximately 20 degrees while walking with crutches.
A client states to you, "I am not smart enough to learn how to take of my mother, and I just don't think I can do it." This is an example of
A) Self-perception B) Self-knowledge C) Self-expectation D) Social self