A patient states, "I am having a severe headache with pain over my right eye." This statement is classified as
A) Primary source
B) Objective data
C) Symptom identification
D) Planning care
Ans: A
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A large healthcare organization is reviewing their information security plan. Which indicates that survivability has been addressed in the plan? Select all that apply.
A) One hospital in each regional area has multiple sources of communication with central processing. B) Emergency power generators for all associated hospitals are tested and serviced each week C) The system at central processing is backed up each night, and the data are stored at a remote location. D) One hospital in each regional area has an emergency protocol in place for communicating directly with the Department of Homeland Security. E) One hospital in each regional area is especially prepared to maintain information system functionality for the emergency, operating room, lab, and pharmacy units.
Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should know that
a. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester, because they are consuming more sugar. c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. d. Maternal insulin requirements steadily decline during pregnancy.
A client who had a trans-sphenoidal hypophysectomy 2 days ago now has nuchal rigidity. Which is the nurse's priority action?
a. Have the client do active range-of-motion exercises for the neck. b. Document the finding and monitor the client. c. Take the client's temperature and other vital signs. d. Assess using a pain scale and administer pain medication.
A client with obsessive–compulsive disorder develops a number of compulsive washing rituals over the years. The client then becomes confused and has difficulty remembering the proper sequence of her routines, which causes great distress
A nurse understands that the client's behavioral rituals served the purpose of: A) Blocking delusions and hallucinations from awareness. B) Providing temporary and partial relief from her anxiety. C) Drawing attention and approval from significant others. D) Increasing the inhibitory powers of her superego.