A patient is brought to the hospital after being found on the floor at the bottom of a flight of stairs. The patient has an obvious depressed skull fracture and is bleeding from her right ear. Initially, the nurse assesses the patency of the patient's airway, her breathing, and the rate and rhythm of her pulse. What assessments and questions will be part of the nurse's secondary survey?
1. "How did the injury occur?"
2. "What care was provided at the site of the injury?"
3. "Has anything like this ever happened before?"
4. Blood pressure measurement will occur.
5. A general systems assessment will occur.
1, 2, 3, 5
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A 78-year-old female client is in the healthcare provider's office for a routine physical exam. She asks for an explanation of why skinfold measurements are not done on her anymore. The nurse's best response would be:
1. "Those tests are no longer recommended to assess BMI." 2. "As a person ages, the test is not as accurate." 3. "The BMI (body mass index) test is easier to use." 4. "A detailed dietary history will give us the information that we need."
Which risk factors are associated with infective endocarditis?
a. Rheumatic fever b. Intravenous drug use c. Long-term indwelling catheterization d. Aortic regurgitation e. Heart valve disease
The client is at 6 weeks' gestation, and is spotting. The client had an ectopic pregnancy one year ago. The nurse anticipates that the physician will order
1. A urine pregnancy test. 2. The client to be seen next week for a full examination. 3. A serum pregnancy test. 4. An ultrasound to be done within four weeks.
Centering, as used in both therapeutic touch and healing touch, can best be defined as
a. finding the center of the client's field of energy b. using the hands to determine the nature of the patient's energy field c. bringing body, mind, and emotions to a quiet, focused state of consciousness d. directing the flow of energy to a specific area