Reference no: EM133845155

Question

1. While making a home visit, the spouse of an older client tells the nurse the client is becoming increasingly confused about past events and has started forgetting to take pain medication for osteoarthritis in the knees. which assessment should the nurse initially performed to evaluate the clients memory?

A. Request for the spouse to write down the things the client forgets

B. Ask the spouse how often the pain medication is tore taken

C. Observe clients ability to perform activities of daily living (ADLs)

D. Ask the client to recall what was consumed for lunch and breakfast

2. A client reports episodes of syncope. Which assessment finding should the nurse anticipate?

A. Positive jugular vein distention (JVD) bilaterally

B. 3+ carotid pulse volume bilaterally

C. Grade 3 systolic murmur auscultated at the pulmonic site

D. Decreased BP during orthostatic blood pressure measurement

3. The nurse is assessing a client who has a history of kidney stones and returns to the clinic with back pain. Which intervention should the nurse implement first?

A. use a standard pain assessment questionnaire and scale

B. Collect a urine and strain for granules and calculi

C. Ask the client if he took any pain medication at home

D. Observe for nonverbal signs to measure pain intensity.