A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St. John's wort. Which vital sign should the nurse assess for possible adverse effects?
1. Temperature
2. Respiratory rate
3. Oxygen saturation
4. Pulse rate
Correct Answer: 4
Rationale: St. John's wort would not affect the hypothalamus.
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A 20-year-old female complains of thin vaginal discharge and pruritus. On pelvic examination, there are "strawberry spots" on the vaginal walls. With this infection, it is important to:
A. Treat the patient's partner B. Perform STD and HIV testing C. Look for characteristic clue cells D. A and B
Evaluation should be ______.
a. specific, measured, timed, related to the goal b. small, meaningful, timed, related to each other c. small, measured, taxed, relative d. specific, meaningful, timed, real
The nurse instructs the client about the continent urinary diversion in the postoperative period and states that the stoma does not need a pouch. Which does the nurse use to explain the reason for the statement?
1. A gauze pad over the stoma collects draining urine. 2. All urine drains from the remaining healthy ureter. 3. Stoma has a muscular closure to prevent leakage. 4. Initially, a urinary diversion does not drain urine.
A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 1230 for a 1000 appointment. A Native American patient does not keep an appointment at all. What understanding will improve the nurse's planning?
These patients are: a. members of cultural groups that have a different view of time. b. immature and irresponsible in health care matters. c. acting out feelings of anger toward the system. d. displaying passive-aggressive tendencies.