A patient desires to learn more about his family heritage. On which research topic would the nurse suggest the patient focus?
A. The origin of a family's surname
B. Historical events occurring within the United States
C. How members of a family lived their lives
D. Events leading to desire to research a family background
Answer: A
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Which nursing diagnosis is appropriate for all patients with an anxiety, a somatoform, or a dissociative disorder?
a. Altered nutrition, less than body require-ments b. Disturbed body image c. Ineffective denial d. Ineffective coping
Which are clinical indicators of an anaphylactic blood reaction?
1. Crackles and edema 2. Wheezing and chest pain 3. Headache and muscle pain 4. Hypotension and confusion
The nurse is using waist circumference to assess overnutrition in an adult female. Which is the correct placement for the measurement tape?
A. At the umbilicus. B. Below the umbilicus. C. Lower lateral border of the ilium midaxillary line D. Upper lateral border of the ilium midaxillary line
The nurse is caring for a pt newly diagnosed with MG. The nurse is vigilant for complications related to both myasthenic crisis and cholinergic crisis. what is the priority nursing assessment for this pt?
a. monitor cardiac rhythm and rate b. assess respiratory status and function c. monitor fatigue and activity levels d. perform neurologic checks every 2-4 hours