Which is a priority nursing intervention for a client who is newly prescribed enalapril (Vasotec)?
A. Monitor the client for headaches.
B. Take the client's blood pressure.
C. Order a sodium-restricted diet for the client.
D. Review the client's lab results for hypokalemia.
Answer: B
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The nurse is preparing to palpate the thorax and abdomen of a patient. Which of these statements describes the correct technique for this procedure? Select all that apply
a. Warm the hands first before touching the patient. b. For deep palpation, use one long continuous palpation when assessing the liver. c. Start with light palpation to detect surface characteristics. d. Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps. e. Identify any tender areas, and palpate them last. f. Use the palms of the hands to assess temperature of the skin.
A patient has been newly diagnosed with AIDS. The patient is a 32-year-old mother of two young children. When you are doing your initial assessment, the patient expresses fear of dying. How should the nurse best respond to the patient?
A) "Would you like to talk to someone?" B) "Everyone dies eventually." C) "You are afraid of death; what concerns you most about death?" D) "You may live for several years."
A key factor in dealing with transcultural issues is:
a. ethnocentrism. c. diversity. b. culture. d. self-awareness.
A patient says that she cannot go home until she can walk independently because she might get "kicked out" of the apartment. The nurse realizes this patient is describing which type of living facility?
1. Assisted living facility 2. Adult day care 3. Residential living facility 4. A skilled nursing care facility