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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Not knowing what triggered the allergic reaction is a significant concern and may indicate a need for allergy testing and evaluation by an allergy specialist. Identifying the trigger allergen is crucial for implementing avoidance strategies, preventing future allergic reactions, and managing the client's overall health and well-being.
A. While the administration of epinephrine indicates the severity of the allergic reaction and the need for immediate treatment, it may not be the most important indication for referral to an allergy specialist on its own.
B. A biphasic reaction refers to the recurrence of symptoms after an initial resolution of an allergic reaction. Biphasic reactions can occur within hours or days after the initial reaction and can be severe or even life-threatening. This, however, does not necessitate need for a specialist.
C. While severe hypoglycemia can occur in some cases of anaphylaxis, it may not be the primary indication for referral to an allergy specialist.
Correct Answer is A
Explanation
Gloves are typically the first piece of PPE to be removed after providing care. This helps prevent the spread of pathogens from contaminated gloves to other surfaces or body parts. Gloves should be removed carefully to avoid touching the outside surface, which may be contaminated. This should be followed by face shield, gown and mask in that order.
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