When taking the health history of a patient who presents with acute abdominal pain, which is the priority action by the nurse?
1) Administering pain medication
2) Collecting detailed demographic information
3) Exploring the past history of GI illness
4) Assessing vital signs
ANS: 4
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The clinic nurse is explaining to a new prenatal client that the certified nurse–midwife will be performing clinical pelvimetry as a part of the pelvic exam
The nurse knows that teaching has been successful if the client states, "The certified nurse–midwife will perform this examination because: 1. "It will help understand how big a baby I can have." 2. "Doing this exam is a part of prenatal care at this clinic." 3. "My sister had both of her babies by cesarean." 4. "I am pregnant with my first child."
The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance. Which assessment approach should the nurse use?
a. Braden Scale b. Wound staging c. ABCD (asymmetry, border, color, diame-ter) rule d. Pressure ulcer scale for healing (PUSH) tool
Following insertion of a peripheral vascular device, the patient immediately complains of shortness of breath, chest pain, and palpitations. What is the nurse's initial intervention?
1. Obtain radiographic studies. 2. Notify the physician. 3. Place a tourniquet proximal to the site. 4. Obtain vital signs.
The stage of carcinogenesis in which the deoxyribonucleic acid (DNA) of the cell undergoes mutation is called
a. initiation. b. metastasis. c. promotion. d. progression.