Your patient complains of sneezing accompanied by clear nasal discharge and watering eyes, but he denies having a sore throat, body aches, cough, or fever. The pertinent negative finding(s) in your assessment of the patient include
a. fever.
b. sore throat and cough.
c. clear nasal discharge, sneezing, and tearing.
d. sore throat, body aches, cough, and fever.
D
Negative findings, also called pertinent negatives, are those manifestations expected in the patient with a suspected pathology, but which are denied by the patient. If the patient does not mention specific signs or symptoms that might be present with a given illness, ask whether they are present. Lack of pertinent negatives may lead to a different diagnosis. Document both positive findings and pertinent negatives because both give clues to the patient's condition.
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Following several months of joint pain in her hands and knees, a 73 year-old client has been diagnosed with osteoarthritis. Which of the nurse's following teaching points is likely to be of the most use to the client?
A) "Nonsteroidal anti-inflammatory drugs are your best choice for the pain that accompanies osteoarthritis.". B) "This health problem is usually a result of wear and tear, so keeping your joints immobilized as much as possible can slow the progression.". C) "Even though it might cause some discomfort, it's important for you to now exercise more, not less, than before.". D) "There are changes you can make in your diet to help control your osteoarthritis, and surgical options now exist if it worsens.".
The nurse is preparing to collect an ordered urine sample for urinalysis. The nurse should be aware that this test will include what assessment parameters? Select all that apply
A) Specific gravity of the patient's urine B) Testing for the presence of glucose in the patient's urine C) Microscopic examination of urine sediment for RBCs D) Microscopic examination of urine sediment for casts E) Testing for BUN and creatinine in the patient's urine
The nurse is teaching a wellness class and is discussing the warning signs of stroke. A patient asks, "What is the most important thing for me to remember?" Which is an appropriate response by the nurse?
1. "Know your family history.". 2. "Keep a list of your medications.". 3. "Be alert for sudden weakness or numbness.". 4. "Call 911 if you notice a gradual onset of paralysis or confusion.".
Why is it important for the nurse to assess a patient's religion when planning interventions for pain?
a. Most patients believe that God administers or relieves pain. b. Artificial pain relief measures are discouraged by most non-Christian religions. c. The use of religious practices may enhance a patient's response to drug therapy for pain. d. Providing prompt and effective pain relief measures can increase a patient's faith in God or other deity figure.