A clinic patient complains of recurring headaches that are worse when first waking in the morning and with coughing or sneezing. What would be the nurse's most appropriate action?
A) Ask the doctor for an order for an MRI
B) Perform a focused assessment
C) Prepare the patient for a spinal tap
D) Perform a generalized assessment
B
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The nurse is creating a care plan for a patient admitted with severe bone pain related to an infected leg wound. Which diagnosis written on the plan indicates an understanding of the components of a nursing diagnosis? (Select all that apply.)
a. Acute pain b. Risk for impaired walking c. Ineffective bone tissue perfusion d. Osteomyelitis e. Infection
A patient is admitted for palliative care for end-stage heart failure. The nurse's primary goal is
a. to reverse heart failure with the use of diuretics. b. to increase activity tolerance. c. symptom management and relief of pain. d. to increase cardiac output related to alteration of contractility.
A group of students is reviewing information about auscultation in preparation for a test. The students demonstrate understanding of the material when they identify which of the following?
A) Auscultation can be performed through clothing. B) The diaphragm should be held firmly against the body part. C) The bell of the stethoscope can detect bowel sounds. D) The binaurals connect the tubing to the chest piece.
D.S.'s past medical history (PMH) of fistula, combined with the probability of blockage or
obstruction, places him at an increased risk for which problems? What will be an ideal response?