The nurse is caring for a patient who had a left mastectomy earlier in the day and informs the nurse of several concerns. Which should the nurse attend to first?
a. Bowels have not moved in 48 hours.
b. Pain level of is 7 on a 0-to-10 scale.
c. A 3-cm area of blood is on the wound dressing.
d. Feels anxious about how her husband will react to the surgery.
ANS: B
Pain, constipation, and bleeding are all physiological needs which are a priority according to Maslow's hierarch. D. Psychosocial needs can be addressed later. A. C. Because 3 cm of blood is not urgent, and a few more minutes of constipation will not make a difference in the outcome, the pain should be treated first.
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A Southern, nominally Pentecostal, African-American pediatric client is being assessed during admission. He has braided, black, kinky hair, and he celebrates Kwanzaa
The nurse should document his ethnicity and race on the nursing admission form as: 1. Ethnicity Southern, race Black. 2. Ethnicity Black, race African-American. 3. Ethnicity African American, race Black. 4. Ethnicity Pentecostal, race African-American.
A nurse is seeing a patient for a wellness checkup and collects data on the patient's family history of medical problems. The nurse would evaluate that goals for related teaching have been met when the patient states,
a. "Exercise is important for me because I lead such a sedentary lifestyle already." b. "I have a family history of heart disease, so I must make heart-healthy choices." c. "I know now that my mother's breast cancer does not really impact me." d. "The chances of developing a disease are not greater if a relative has had it."
The nurse is reading about a case in which Medicare fraud is suspected. Which of the following is true about fraud?
a. It is written information given to a third party that causes damage to someone's reputation. b. It is oral information given to a third party that causes damage to someone's reputation. c. It results from a deliberate deception intended to produce unlawful gain. d. It results from revealing confidential information without the person's permission.
A nurse counsels a patient to increase the dietary intake of calcium as well as to begin calcium supplements. The nurse should include information that certain foods will interfere with calcium absorption
These include (you may select more than one answer): 1. bran and whole grain cereals. 2. spinach. 3. milk and dairy products. 4. peas and other legumes. 5. fruit such as oranges and apples.