The nurse is conducting a health assessment with a patient. What will the nurse do when completing this health assessment? (Select all that apply.)
A) Complete the health history.
B) Interpret findings.
C) Formulate a plan of care
D) Implement a plan of care.
E) Conduct a physical examination.
A, E
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The nurse knows that the client did not adhere to a medication plan in the past due to severe side effects. What information would be most important to include in the client's teaching?
1. The need to monitor all body changes on a continuous basis 2. Hopefulness about managing side effects 3. Reassurance that side effects will not occur 4. A detailed explanation of all potential side effects
A patient is about to begin therapy with fingolimod (Gilenya) to treat multiple sclerosis. The nurse learns that the patient has not had chickenpox or the varicella zoster virus (VZV) vaccine. What will the nurse do?
a. Advise the patient to avoid individuals with chickenpox. b. Give the VZV vaccine with the initial dose of fingolimod. c. Give the VZV vaccine and tell the patient to begin using fingolimod in 1 month. d. Obtain an order for a VZV antibody test.
Which parental action indicates accurate understanding of information presented by the nurse to treat a fever related to otitis media?
1. Putting the child in a tub of cold water to reduce the fever 2. Alternating acetaminophen with ibuprofen every 2 hours 3. Offering generous amounts of fluids frequently 4. Using aspirin every 4 hours to reduce the fever
The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable. What should the nurse do next?
a. Request an order for a urinalysis. b. Hold the patient's antihypertensive medi-cations. c. Assess the patient for fecal impaction. d. Notify the charge nurse.