A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.

Avoiding silences so the client won’t feel anxious.

Clarifying points made by the patient that are unclear.

Listening attentively while speaking slowly and clearly.

Sitting approximately two feet away from the client.

Asking the family member to complete the written form.

Answer and Explanation

Correct Answer : B,C

The nurse should use clarifying points made by the patient that are unclear and listening attentively while speaking slowly and clearly as communication techniques when performing a health history.

These techniques help the nurse to gather accurate and comprehensive information from the patient and to establish rapport and trust.

Choice A is wrong because avoiding silences can make the patient feel rushed or interrupted. Silences can be useful to allow the patient to think or express emotions.

Choice D is wrong because sitting approximately two feet away from the client may be too close and invade the personal space of the client. The nurse should maintain a comfortable distance of about 4 to 5 feet from the client, depending on the cultural norms and preferences of the client.

Choice E is wrong because asking the family member to complete the written form may not reflect the true health history of the client. The nurse should obtain the information directly from the client whenever possible, unless the client is unable or unwilling to provide it.

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Correct Answer is C

Explanation

Determining whether chest pain has been relieved. This is because nitroglycerin is a medication that is used to treat chest pain caused by cardiac origin or acute pulmonary edema. The main action of nitroglycerin is to relax and dilate the blood vessels, which reduces the workload of the heart and improves blood flow to the heart muscle.

Therefore, the most important nursing action after administering nitroglycerin sublingually is to assess if the chest pain has subsided or not.

Choice A is wrong because monitoring the client’s respiratory rate and effort is not the most important action after giving nitroglycerin. Although nitroglycerin can cause hypotension and bradycardia, which may affect the respiratory status, these are side effects that can be managed and are not life-threatening as chest pain.

Choice B is wrong because warning the client to lie still to prevent a headache is not a priority after giving nitroglycerin. Nitroglycerin can cause headache as a side effect, but this can be treated with analgesics and does not require the client to lie still. Moreover, lying still may increase the risk of venous thromboembolism in a client with peripheral vascular disease.

Choice D is wrong because verifying that the sublingual tablet produced a tingling sensation is not essential after giving nitroglycerin.

Although some sublingual tablets may produce a tingling sensation, this is not a reliable indicator of the drug’s effectiveness

A. 5 mL. B. 15 mL. C. 25 mL. D. 30 mL.

Correct Answer is D

Explanation

30 mL. This is because one ounce is equal to 29.57353 milliliters, so one ounce of an elixir medication is approximately 30 milliliters.

The nurse should instruct the client to take 30 milliliters of the medication during discharge teaching.

Choice A is wrong because 5 milliliters is much less than one ounce. Choice B is wrong because 15 milliliters is half of one ounce.

Choice C is wrong because 25 milliliters is slightly less than one ounce.

The nurse should use a conversion factor or a calculator to convert ounces to milliliters accurately.

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A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing action is most important after administering nitroglycerin sublingually?

Correct Answer is C

Explanation

A health care provider prescribes one ounce of an elixir medication for a client. How many milliliters (mL) of medication should the nurse instruct the client to take during discharge teaching?

Correct Answer is D

Explanation

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A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.