Nokea
Which of the following manifestations should the nurse expect?
- A. Shortness of breath
- B. Dizziness
- C. Epistaxis
- D. Headache
Correct Answer: B
Rationale: Dizziness reflects reduced circulating volume.
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Which of the following responses should the nurse make?
- A. Are you not happy with your treatment?
- B. We can provide a copy of your records, but the therapist's notes are not included.
- C. Why are you interested in seeing your therapist's notes?
- D. I don't think you will benefit from reviewing your therapist's notes right now.
Correct Answer: B
Rationale: The correct response is B: "We can provide a copy of your records, but the therapist's notes are not included." This answer respects the patient's request for records while also maintaining confidentiality of the therapist's notes. Offering a copy of the records shows transparency and willingness to provide information to the patient. Choices A, C, and D are incorrect because they do not address the patient's request appropriately - A assumes dissatisfaction, C questions the patient's motive, and D dismisses the request without explanation.
For each assessment finding, click to specify if the finding is an indication of physical maltreatment, neglect, or financial maltreatment.
- A. Client reports having little food in the house.
- B. Client has bruises in various stages of healing.
- C. Client wears dirty clothing
- D. Client has no access to bank accounts
Correct Answer: A,B,C,D
Rationale: These findings suggest multiple forms of maltreatment.
Which of the following actions should the nurse take? Select all that apply.
- A. Vaginal culture
- B. Urine culture
- C. Obtain provider prescription for antibiotics
- D. Ibuprofen 660 mg every& hi for mid to moderate pain
- E. Obtain provider prescription for phenazopyridine
Correct Answer: B,C,E
Rationale: The correct actions for the nurse to take are B, C, and E. B, Urine culture, is important to identify the causative organism of a urinary tract infection. C, Obtaining a provider prescription for antibiotics, is necessary to treat the infection. E, Obtaining a provider prescription for phenazopyridine, can help alleviate urinary discomfort.
Choice A, Vaginal culture, is not relevant to the scenario of a urinary tract infection. Choice D, Ibuprofen for pain, is not addressing the infection itself. Without a prescription, phenazopyridine should not be administered.
Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.
- A. Change the indwelling urinary catheter tubing every 3 days
- B. Empty the drainage bag when it is half-full
- C. Place the drainage bag on the bed when transporting the client.
- D. Use soap and water to provide perineal care
- E. Review the need for the indwelling urinary catheter daily.
- F. Encourage the client to drink 3000 mL of fluid daily
Correct Answer: D,E
Rationale: Proper hygiene and regular assessment of catheter necessity reduce UTI risks.
Which of the following actions should the nurse take first?
- A. Meet with providers to discuss measures so decrease the infections
- B. Identify possible precipitating factors related to the infections
- C. Schedule nursing staff training for infection control procedures
- D. Revise the current policy for catheter care
Correct Answer: B
Rationale: Identifying causes directs targeted interventions.