Nokea
When doing an initial assessment, the best way for you to identify the client¢â‚¬â„¢s priority problem is to:
- A. Interview the client for chief complaints and other symptoms
- B. Talk to the relatives to gather data about history of illness
- C. Do auscultation to check for chest congestion
- D. Do a physical examination while asking the client relevant questions
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Transmission of HIV from an infected individual to another person occurs:
- A. Most frequently in nurses with needlesticks
- B. Only if there is a large viral load in the blood
- C. Most commonly as a result of sexual contact
- D. In all infants born to women with HIV infection
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which foods increase iron absorption when consumed with nonheme iron? (SATA)
- A. Kiwi
- B. Strawberries
- C. Coffee
- D. A, B
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assessing a client with a new diagnosis of Listeria food poisoning. What action should the nurse take first?
- A. Educate the client on safe food practices.
- B. Start a traceback to identify the source of the outbreak.
- C. Report the case to the county board of health.
- D. Ask the client if they have consumed any unpasteurized products.
Correct Answer: D
Rationale: The correct first action for the nurse to take when assessing a client with a new diagnosis of Listeria food poisoning is to inquire if the client has consumed any unpasteurized products. This is crucial because Listeria contamination is often associated with unpasteurized dairy products and undercooked meats. Educating the client on safe food practices (Choice A) is important but not the priority at this initial assessment stage. Starting a traceback to identify the source of the outbreak (Choice B) and reporting the case to the county board of health (Choice C) are necessary actions but should come after gathering information directly from the client regarding potential exposure to high-risk foods.
Mrs. Seva also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation?
- A. inhibition of the parasympathetic reflex
- B. weakness of sphincter muscles of anus
- C. loss of tone of the smooth muscles of the colon
- D. decreased ability to absorb fluids in the lower intestines
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What type of debridement involves proteolytic enzymes?
- A. Interventional C. Surgical
- B. Mechanical D. Chemical
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.