A client is interviewed by the same evaluator on several different occasions. The client gives conflicting responses to the same questions that were asked during previous evaluations. The evaluator would MOST likely describe the client as a(n):
a. unreliable historian
b. double-blinded historian
c. invalid historian
d. uncontrolled cohort historian
A
If a subject answers the same questions in a different manner, he or she is considered an unreliable historian. A reliable historian would give the same answer each time.
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The nurse caring for a client recently diagnosed with active TB would include in the teaching plan which information regarding medications?
a. Clients must report daily to the health department to receive their medication. b. Clients are usually admitted to the hospital to initiate treatment for TB. c. Medications are generally given for 6 to 8 weeks. d. TB is treated with three or more medications to prevent organism resistance.
Children with an internal hemorrhage such as bleeding into the thoracic or peritoneal cavity will have the same signs and symptoms of hypovolemic shock as a child with an external hemorrhage, except for one difference, which is:
a. weight loss with external hemorrhage and no weight loss with internal hemorrhage b. decreased urine loss with external hemorrhage and no decreased urine loss with internal hemorrhage c. bradycardia with external hemorrhage and tachycardia with internal hemorrhage d. decreased blood pressure with external hemorrhage and no decrease with internal hemorrhage
A client is admitted to the emergency department (ED) with new-onset atrial fibrillation. Which cardiac rhythm history would be a contraindication for the use of a sodium channel blocker antidysrhythmic medication?
1. Occasional premature ventricular contractions (PVCs) 2. Multiple premature atrial contractions (PACs) 3. Elevated blood sugar 4. Second-degree AV block
A patient refusing to take pain medication for chronic back pain is asked to rate the pain on a scale from 0 to 10. What is the nurse attempting to do with this patient?
A. Decide if the patient is being argumentative B. Assess the patient's level of pain C. Figure out if the patient should leave the hospital against medical advice D. Determine if the patient should remain in the hospital