The nurse is preparing to document the sexuality of a client. Which question should the nurse ask to ensure accuracy of the information obtained?
A. "What is your sexuality?"
B. "Are you male or female?"
C. "Do you have a sexual preference?"
D. "How do you identify?"
Answer: D
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A young child admitted to the Pediatric unit has fever, irritability, and vomiting. The physician suspects bacterial meningitis. The nurse would expect the cerebrospinal fluid (CSF) to show:
1. Protein count of 50 mg/dL. 2. Increased glucose level. 3. Decreased glucose level. 4. Negative Gram stain.
An ileal conduit is created for a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care?
A) Application of an ostomy pouch B) Intermittent catheterizations C) Exercises to promote sphincter control D) Irrigating the urinary diversion
Patients with musculoskeletal injury are at increased risk for compartment syndrome. What is an initial symptom of a suspected compartment syndrome?
a. Absence of pulse in affected extremity b. Pallor in the affected area c. Paresthesia in the affected area d. Severe, throbbing pain in the affected area
The action of the CNA that the nurse observes that would be harmful to a patient's skin is:
a. lifting the patient on the draw sheet to the stretcher. b. pulling the draw sheet out from under the patient. c. rolling the patient to the side to change the draw sheet. d. using the gait belt to lift the patient from the bed to a wheelchair.