The nurse is assigned the admission health history and physical for a patient diagnosed with a fever of unknown etiology. The patient tells the nurse, "I just don't feel good. I'm so hot and I feel sick to my stomach

Can you ask me those questions later?" The best response by the nurse is:
a.
"It will not take too long. I can hurry."
b.
"We need the information to complete your admission paperwork."
c.
"I will come back in a few minutes and we can start over."
d.
"Let me see if you can have something for the nausea and then talk later."


ANS: D
If a patient being admitted to the hospital is too ill to interact for an extended period, the interview can be broken into smaller segments. Interviews with patients already hospitalized or established in the health care system are less extensive and more focused on newly identified patient concerns or problems. Ensuring that the patient is comfortable and relaxed is a priority and often takes prior thought and planning by the nurse.

Nursing

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After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was

successful? A) Increase in ambulatory care B) Decrease in family poverty level C) Increase in hospitalization of children D) Decrease in managed care

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The nurse is caring for a client with early shock. The nurse understands that which mechanism in the body is maintaining the client's blood flow?

A) The kidneys respond to poor perfusion by activating the renin-angiotensin-aldosterone system. B) Baroreceptors respond to the increase in heart rate by increasing sympathetic outflow to the heart and blood vessels. C) The body's blood vessels are constricted as a result of parasympathetic stimulation. D) The cardiovascular center in the brain responds by slowing the pulse and increasing cardiac contractility.

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A woman is scheduled to have epidural anesthesia for a cesarean birth. Which of the following would you anticipate including in the preoperative plan of care while she waits for the anesthetic?

A) Encouraging her to ambulate B) Administering an oral antacid C) Administering morphine sulfate IM D) Keeping her turned on her side

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MC The nurse is preparing a community health program about women's health care issues. Which of the following statements should the nurse include in the program?

A. Women have higher incidence rates for hypertension. B. Women have a higher risk of death from stroke. C. Women are more likely than men to die of chronic liver disease. D. Women have a higher risk for arthritis than men.

Nursing