The nurse is providing care to patients in a community clinic. When should the nurse conduct a health assessment interview to determine problems with the integumentary system? Select all that apply.
A. Rarely, because it takes too much time
B. As part of regular health screening
C. When the patient has a complaint
D. When the patient is over the age of 50
E. When completing a health assessment
Answer: E
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The nurse is caring for an older adult patient who has recently moved into a skilled nursing facility. The patient is displaying anxiety, fear, and loneliness after the change in living environment
Which actions by the nurse will help to decrease the patient's stress of transition? Select all that apply. 1. Provide the patient with decisions in a direct manner. 2. Accommodate the patient's normal routines and preferences. 3. Provide the patient with resources to help in making decisions. 4. Encourage the patient to discuss feelings related to relocation. 5. Assist the patient to communicate with family members.
You are the nurse working triage in the emergency department. A school-age child is brought in for treatment, carried by her mother. What is part of a primary assessment that should be performed first on this child?
a. Determine level of consciousness. b. Obtain a health history. c. Obtain a full set of vital signs. d. Evaluate for pain.
The client asks when she will be able to be out of bed after hip replacement surgery. What is the nurse's best response?
A. "If there are no complications, most people are out of bed by the day after sur-gery." B. "If there is no infection present, you can be out of bed as soon as the sutures are removed from the incision." C. "It will be necessary for you to remain in bed until x-rays show that new bone is growing into the hip replacement." D. "It is standard procedure for people who have hip replacement surgery to remain in bed for a minimum of 2 weeks."