When describing a focused assessment to a group of students, which of the following would the instructor include?
A) It is done before the physical exam.
B) It replaces the comprehensive data base.
C) It assesses a particular client problem.
D) It is done after gathering subjective data.
C
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A woman calls the nurse at the mental health clinic about her husband who takes phenelzine (Nardil). She states that he took several over-the-counter decongestants and now has a stiff neck, headache, nausea, and vomiting
The nurse bases her response on what information? 1. Agranulocytosis is an adverse reaction that occurs due to the interaction of MAOIs and decongestants. 2. MAOIs can trigger a hypertensive crisis if taken with sympathomimetics. 3. Flu-like symptoms are common when clients begin taking MAOIs. 4. Neuroleptic malignant syndrome presents with muscular rigidity following the ingestion of MAOIs.
A client will be taking mycophenolate (CellCept) to reduce the risk of rejection after a cardiac transplant. What should the nurse be sure to inform the client to report?
A) Increase in appetite B) Swelling of the fingers C) A cough D) Unusual bleeding or bruising
To assess the patient's visual acuity, the nurse should use the
a. ophthalmoscope c. Snellen chart b. otoscope d. pen light
A client at 30 weeks' gestation is experiencing painless late vaginal bleeding. What should the nurse expect in the management of this client?
1. Assessing blood pressure every 2 hours 2. Evaluating the fetal heart rate with an internal monitor 3. Limiting vaginal examinations to only one per 24-hour period 4. Monitoring for blood loss, pain, and uterine contractibility