During the initial assessment interview, the nurse should allow for how much personal space?
A) 0–18 inches
B) 18 inches–3 feet
C) 4–12 feet
D) 12 or more feet
C
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The nurse makes this entry in the client's chart: "Client avoids eye contact and gives only vague, nonspecific answers to direct questioning by the professional staff
However, is quite animated (laughs aloud, smiles, uses hand gestures) in conversation with spouse." This is an example of which method of data collection? A) Observing B) Interviewing C) Examining D) Listening
A client with terminal cancer of the lung complains of being short of breath with bilateral crackles and wheezes, despite oxygen at 4 liters per minute via nasal cannula and diuretic therapy
What nursing interventions are appropriate for this client? (Select all that apply.) 1. Move the client to a room closer to the nurse's desk for closer observation 2. Help the client assume a position lying on the right side 3. Place a fan in the room to move air around the client 4. Change the client's oxygen therapy to a nonrebreathing mask Elevate the head of the client's bed to a Fowler's position
A 32-year-old African American woman has just been diagnosed with uterine fibroid tumors. The woman is upset and has several questions about the condition
After providing education to her, the nurse will recognize the need for further education when the woman makes which of the following statements? 1. "The growth of my tumors is directly linked to my progesterone levels.". 2. "These tumors are frequently seen in African American women.". 3. "These tumors are benign.". 4. "The tumors tend to develop slowly.".
Mr. R tells the clinic nurse that he is taking echinacea daily to prevent colds and the flu. He likes using it because it is "all natural.". Her best response would be:
1. "Before taking any dietary supplement you should discuss potential adverse side effects with your provider.". 2. "All-natural products are safe to use so you don't have to worry about it.". 3. "Some dietary supplements may interact with other medications, but since echinacea is a plant you don't have to worry.". 4. "I've heard many people say that it helps to prevent the flu.".