While performing an admission history on a confused patient, a licensed practical nurse (LPN) assists the registered nurse (RN) by collecting secondary information about the patient. An example of secondary information would be that
1. The patient reports a history of chest pain.
2. The patient complains of chronic constipation.
3. The patient verbalizes anxiety about hospitalization.
4. The patient's spouse reports experiencing marital issues.
ANS: 4
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When assessing the older adult, the nurse considers which aspect of the patient's routine as a possible contributor to constipation?
a. Intake of antacids several times a day b. Taking a laxative once a week c. Excessive exercise routine d. Eating two apples a day
Which assessment finding is most important in determining nursing care for a client with diabetes mellitus?
A) Respirations of 12 breaths/minute B) Cloudy urine C) Blood sugar 170 mg/dL D) Fruity breath
Mrs. A complains to the clinic nurse that many times when she eats a large meal she develops abdominal cramps, bloating, and diarrhea within one hour. The nurse suspects she may have dumping syndrome and suggests that she:
1. Eat a diet high in simple carbohydrates to delay gastric emptying. 2. Eat small meals and snacks throughout the day rather than several large meals. 3. Increase activity following a meal. 4. Drink extra fluids with meals.
Which of the following elements is key to the framework for practice in Martha Roger's theory?
a. Human becoming b. Manipulation of the client's environment c. Seven categories of behaviour and behavioural balance d. Focus upon the life process of a human being along a time-space continuum