A patient comes to the clinic complaining of nausea and vomiting after spending the weekend at a seaside resort. What should be the most important assessment for the nurse?
1. whether the patient is resting and sleeping normally
2. whether the patient is following a typical meal pattern
3. whether the patient had to change time zones when traveling to the resort
4. whether the patient has been sunburned
Correct Answer: 4
Sunburns result from exposure to ultraviolet light. Because the skin remains intact, the manifestations in most cases are mild and are limited to pain, nausea, vomiting, skin redness, chills, and headache. The patient did not report concerns that would support issues with sleep pattern, diet, and travel.
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Nursing assistive personnel (NAP) are working with patients performing range-of-motion exercises. Which activity can the nurse delegate to NAP?
a. Determine the patients' current pain level. b. Assist stable patients with their range-of-motion exercises. c. Force the joint motion gently a slight bit with each session. d. Place thick socks on patients before exer-cising the lower extremities.
Which cranial nerve is the nurse testing using the technique to touch the client's face with a wisp of cotton while their eyes are closed?
A. Optic nerve (cranial nerve II). B. Abducens nerve (cranial nerve VI). C. Facial nerve (cranial nerve VII). D. Trigeminal nerve (cranial nerve V).
Government resources for families include Medicare, Medicaid, Food Stamps, and Supplementary Security Income. The purposes of these resources are
1. Support for basic needs 2. Insurance for the uninsured 3. To provide health-related services to families 4. To allow nongovernmental agencies to operate more effectively
Assessment reveals that an older client has osteomalacia. Which of the following would be most important to include in the client's teaching plan?
A) Practice risk prevention for fractures. B) Keep exercise to a minimum to decrease pain. C) Minimize movements to maintain joint stability. D) The risk for arthritis increases with age.