A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

"Would you tell me about all of your medical issues?"

"What brought you to the hospital?"

"Would it help to discuss your feelings about this hospitalization?"

"Do you want to talk about your health concerns?"

Answer and Explanation

The Correct Answer is B

This question is more focused and directly addresses the reason for the client's current admission. It prompts the client to discuss their chief complaint or presenting symptoms, which is essential information for the nurse to gather during the health history interview.
A.   This question is too broad and may overwhelm the client, especially during the initial stages of the health history interview.
C.   While discussing the client's feelings about hospitalization is important for providing emotional support and understanding their perspective, this question may not directly promote the discussion of health history data.
D.   This question invites the client to share their perspective and provides an opportunity for them to express any immediate health issues or worries they may have. However, it is too broad.

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Correct Answer is C

Explanation

Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.

A. While assessing the client's neurologic status is important for monitoring their overall condition, it may not be the immediate priority when the client is experiencing symptoms of an allergic reaction, particularly anaphylaxis.

B. While consulting an allergy specialist may be necessary for further evaluation and management of the client's allergic condition, it is not the immediate priority.

D. While determining the cause of the hives is important for identifying the allergen and preventing future allergic reactions, it is not the immediate priority during an acute episode of anaphylaxis.

A. Alert B. Restless C. Anxiety D. Pacing

Correct Answer is C

Explanation

Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.

A. Alert refers to the client's level of consciousness and awareness of their surroundings.

B. Restlessness refers to a feeling of agitation or inability to stay still.

D. Pacing is an observable behavior where the client is walking back and forth in the room.

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A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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