A client seen in the emergency department is noted to be stuporous. Which of the following assessment findings would be of most concern?
a. Elevated blood pressure
b. Elevated cholesterol levels
c. New exercise routine
d. Painting furniture in a windowless room
D
Assessing occupational/lifestyle factors of chemicals in the workplace such as paint can impact function. Elevated blood pressure, elevated cholesterol, and exercise would not result in stupor in the client.
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The clinic nurse is caring for a patient who has been diagnosed with emphysema and who has just had a pulmonary function test (PFT) ordered. The patient asks, "What exactly is this test for?" What would be the nurse's best response?
A) "A PFT measures how much air moves in and out of your lungs when you breathe." B) "A PFT measures how much energy you get from the oxygen you breathe." C) "A PFT measures how elastic your lungs are." D) "A PFT measures whether oxygen and carbon dioxide move between your lungs and your blood."
According to the Life Changing Event Questionnaire, which situation would most merit a complete assessment of a person's stress status and coping abilities?
a. A person returning to college after his employer ceased operations. b. A man who whose job is requiring him to relocate to a different city. c. A person who has been assigned more responsibilities at work. d. A man who recently separated from his wife because of marital problems.
During nursing rounds, a team member notices that an elderly patient has a temperature of 99°F and has been asking to void at least once per hour with minimal results. The team should:
A) Offer the patient cranberry juice hourly. B) Notify the primary health care provider immediately. C) Tally the patient's fluid intake and output for the last 24 hours. D) Run water in the bathroom to promote urinary drainage.
A nurse's goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal?
a. Teaching a family member to provide passive range of motion for a stroke patient b. Teaching a woman who recently had a hysterectomy about possible adoption c. Teaching expectant parents about changes in childbearing women d. Teaching a teenager with a broken leg how to use crutches