The nurse working in an outpatient clinic provides care for a client who arrives a few minutes late for an appointment. The client is diaphoretic with a respiratory rate of 24 breaths per minute. Which is the priority action by the nurse?
1. Call the health care provider STAT to examine the client.
2. Apply oxygen and sit the client up.
3. Assess the client.
4. Document the client's status, and place the chart so that the primary care provider is aware the client is ready to be seen.
Correct Answer: 3
Although the client's symptoms indicate a potential problem, the nurse first must assess the client. Perhaps the client ran up several flights of stairs because he was running late for an appointment. It would be irresponsible practice to treat the client before assessing him first. After assessing the client, the nurse can determine the best course of action.
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A woman consults her physician about a study (Women's Health Initiative) discussing an increased risk for breast cancer if taking hormones. The physician can allay her fears by sharing which of the following findings?
A) Only women with a family history of breast cancer had an increased risk for developing breast cancer while on birth control pills. B) This 26% increased risk for developing invasive breast cancer occurred in women taking combined continuous estrogen-progesterone therapy. C) The increased risk for developing inflammatory breast cancer occurred in women taking hormone replacement therapy when they were over the age of 45. D) Follow-up studies demonstrated that there was only a 3% increase in risk for developing breast cancer if hormones were discontinued immediately.
An older adult man has been the primary caregiver for his chronically ill wife for the past 10 years. When his wife dies, the nurse prepares the family for the likely possibility that their father will express
a. guilt that he is alive while she is dead. b. deep despair for his loss. c. personal relief that she has died. d. concern that he could have cared for her better.
A number less than 1 is always expressed as greater than 100 percent
Indicate whether the statement is true or false
Disaster planning and management are roles well-suited to nurses. Which primary prevention strategy would a nurse use for disaster preparedness?
A) Education to the community on family and home disaster planning, including the kind of supplies that should be in a disaster kit B) Triage of injured clients after a tornado demolishes the community center C) Direct client care to an individual who is recovering from being thrown from his car during a hurricane D) Examining fellow nurses for signs of chemical exposure after participating in a mass disaster response