A 19-year-old patient reports flank pain and scanty urination
The nurse notices periorbital edema, and the urinalysis reveals white blood cells, red blood cells, albumin, and casts. What question would be most important for the nurse to include in data collection?
a. "Is your vision blurred?"
b. "Are you sexually active?"
c. "Have you had any gastrointestinal problems lately?"
d. "Have you had a strep infection of the throat or skin recently?"
ANS: D
The patient has symptoms of glomerulonephritis, which can be caused by a variety of factors but is most commonly associated with a group. A beta-hemolytic streptococcus infection following a streptococcal infection of the throat or skin. A. B. C. Asking about blurred vision, sexual activity, and gastrointestinal problems would not be appropriate for this patient's health problem.
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In which situation is the nurse allowed to breech a client's right of confidentiality?
a. A local politician is admitted after an au-tomobile accident in which he was ine-briated. b. An 18-year-old unwed teenager seeks an abortion at an abortion clinic. c. A 32-year-old housewife comes to the emergency room for care after being raped in a parking lot. d. An important member of the business community is treated for cuts and bruises after a fight with his neighbor.
Nurse working the night shift understands the importance of enhancing the sleep patterns of his patients. In order to do so, he should
A) Only wake them for the 12:00 AM and 4:00 AM vital signs B) Allow the patient time to sit at the desk to enhance better rest C) Evaluate the sleep response of the patient with a polysomnogram D) Cluster activities to allow 90 to 120 minutes of sleep
While leading a group, a nurse leader says to a client, "This is the fourth time that you've changed the subject when we have talked about child abuse. Is something going on?" The nurse is using which technique?
A) Support B) Confrontation C) Summarizing D) Clarification
A client states "Nurse X always seems as though she is hiding behind her uniform." The nurse hearing this would assess Nurse X as
A. not seeming genuine to the client. B. transmitting fear of clients. C. unfriendly and aloof. D. controlling.