When obtaining preoperative assessment data from a client, the nurse should include:

1. Current health status.
2. Allergies.
3. Current medications.
4. Mental status.
5. Respiratory rate.


Correct Answer: 1,2,3,4
Rationale 1: When documenting the current health status, essential information includes general health status and the presence of any chronic diseases that might affect the client's response to surgery or anesthesia.
Rationale 2: When documenting allergies, the nurse should include allergies to prescription and nonprescription drugs, food allergies, and allergies to tape, latex, soaps, or antiseptic agents.
Rationale 3: All current medications should be listed. Herbal remedies and over-the-counter preparations are also a part of this assessment.
Rationale 4: The client's current mental status is a part of this assessment.
Rationale 5: Respiratory rate is part of the physical assessment.

Nursing

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a. psychiatry. b. anatomy. c. surgery. d. physiology.

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A group of nurses have been asked to meet with the emergency department manager for stress debriefing after working an incident in which several children were killed. One of the nurses says, "I don't know why this is necessary. We are all comfortable with our role in trying to save those kids." What response by the manager is indicated?

1. "We need to meet so everyone can share their feelings about our response." 2. "I thought we could use this situation to discuss who would be the best nurse to act as charge nurse when I am away from the department." 3. "We need to meet so that you will have documented stress management education for your next pay raise consideration." 4. "We need to review everyone's actions during the incident to be sure that no one did anything wrong."

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The nurse evaluates teaching about the menstrual cycle for a prepubescent female as effective when the client says:

A) "The day my period stops is the first day of my cycle." B) "My cycle starts the day after I ovulate, and ends when my period starts." C) "The first day of my cycle will be the day that I ovulate." D) "Each time I start my period, I start a new menstrual cycle."

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In comparing the abdominal and transvaginal methods of ultrasound examination, nurses should explain to their clients that:

a. Both require the woman to have a full bladder. b. The abdominal examination is more useful in the first trimester. c. Initially the transvaginal examination can be painful. d. The transvaginal examination allows pelvic anatomy to be evaluated in greater detail.

Nursing