The nurse is documenting the following information that has been collected during the health history. Rank the following information in the order that it should be documented

Select the correct choice from the list.
Response 1. Diagnosed with renal insufficiency in 1997.
Response 2. Malignant melanoma (stage I) removed from one site in 1992.
Response 3. Coronary artery bypass graft in July 2005.
Response 4. Diagnosed with hypertension in 2000.


Correct Answer: 3, 4, 1, 2

When recording data, the information should be written in descending order from present to past. The first thing that should be documented is the coronary artery bypass graft in July 2005. The second item is that the client was diagnosed with hypertension in 2000. The third item is the client's diagnosis of renal insufficiency in 1997. The fourth item is the client's malignant melanoma that was removed from one site in 1992

Nursing

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A nurse is assisting with a forceps delivery. After the forceps are applied, the nurse notes fetal bradycardia. What action by the nurse takes priority?

A. Assess the fetal heart rate in 5 minutes. B. Document the findings in the chart. C. Inform the health-care provider immediately. D. Turn the woman on her left side.

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A child is admitted with infective endocarditis. Which of the following is the nurse's priority action?

1. Start an intravenous line. 2. Place the child in contact isolation. 3. Place the child on seizure precautions. 4. Assist with a lumbar puncture.

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During the acute phase following a myocardial infarction (MI), the nurse prepares for the possibility of the patient receiving a temporary pacemaker in which circumstance(s)? (Select all that apply.)

a. The patient's heart rate continues to re-main above 100 beats/minute. b. The patient is experiencing continued an-gina pain. c. The patient experiences complete heart block. d. The patient's systolic BP drops below 100 consistently. e. The patient's pulse rate remains below 40 beats/minute.

Nursing

The normal rectal Fahrenheit temperature is

A. 97.6°. B. 98.6°. C. 99.6°. D. 100.6°.

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