A patient with a hordeolum (sty) asks what caused the disorder. What is the nurse's best response?
A. "This may be due to the dandruff on your scalp and eyebrows."
B. "It is a result of eversion of the eyelid and associated with the aging process."
C. "This is possibly a side-effect of a medication you are taking."
D. "It may be due to squinting when you are in the sun and not wearing sunglasses."
Answer: A
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The student nurse asks why the nurse is documenting the client's nonverbal responses in addition to verbal responses during the initial assessment
Which of the following statements made by the nurse reflects the rationale for documenting both verbal and nonverbal responses? 1. "It is the hospital policy to document both." 2. "It is important to be thorough when documenting." 3. "Documenting both permits the reader to compare the behaviors for congruence." 4. "Charting verbal and nonverbal helps me remain objective."
The nurse is performing a musculoskeletal assessment on a patient with arthritis. During passive range-of-motion exercises, the nurse hears grating and cracking sounds. This assessment finding is referred to as what?
A) Fasciculations B) Clonus C) Effusion D) Crepitus
The physician has ordered 1000 mL NS to infuse over 10 hours with a drop factor of 15 gtt/mL. What is the correct IV flow rate in gtt/min?
A) 24 B) 25 C) 100 D) 150
A student is following current recommendations for assessing tube placement. A staff nurse says, "Oh, just insert air and listen for a 'whoosh' sound." How would the student respond?
A) "Thank you. That would be much easier for me to do." B) "That procedure has been found to be unreliable." C) "My instructor told me to do it this way, so I will." D) "I appreciate your advice. Let me ask the patient."