The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. While interviewing the client, which assessment technique should the nurse use when asking about the client's use of illegal drugs and alcohol?

Obtain a drug urine screen to verify legitimacy of client's stated history.

Use the term illegal or illicit to describe street drugs.

Allow the client to decline answering social questions.

Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.

Answer and Explanation

The Correct Answer is D

A. Obtain a drug urine screen to verify the legitimacy of the client's stated history. This may be necessary but is not the initial approach for obtaining a health history.

B. Use the term illegal or illicit to describe street drugs. Using stigmatizing terms may make the client uncomfortable and less likely to disclose information.

C. Allow the client to decline answering social questions. The nurse should encourage open communication, but also respect the client's right to privacy.

D. Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts. This is the correct approach. Specific questions about substances and quantities help obtain accurate information.

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Correct Answer is B

Explanation

A. Hypogastric region. This region is located below the umbilical region and is not where the described pain is located.

B. Epigastric region. This region is located in the upper central part of the abdomen, just below the xiphoid process, aligning with the described pain location.

C. Hypochondriac region. These regions are located on either side of the epigastric region, not the middle section below the xiphoid process.

D. Umbilical region. This region is located around the umbilicus (navel) and does not correspond to the described pain location.

A. Excoriation. B. Fissuring. C. Wheals. D. Papules.

Correct Answer is C

Explanation

A. Excoriation. This indicates skin damage caused by scratching but does not specifically describe an allergic reaction.
B. Fissuring. This refers to deep cracks in the skin and is not a typical feature of an allergic reaction to an insect bite.
C. Wheals. This is the best choice as wheals are raised, red, itchy areas commonly associated with allergic reactions.
D. Papules. Papules are small, raised, solid pimples that can occur with many skin conditions, not specifically allergic reactions

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The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. While interviewing the client, which assessment technique should the nurse use when asking about the client's use of illegal drugs and alcohol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports experiencing stomach pain and it is localized in the middle section of the abdomen below the xiphoid process. The nurse should describe the pain as occurring in which region of the abdomen?

Correct Answer is B

Explanation

An adult client exhibits an allergic reaction to an insect bite. The nurse should observe the client's skin for which finding?

Correct Answer is C

Explanation

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