In this Assignment, identify an issue or opportunity for change

22. The nurse is admitting a client to the hospital. The client states, Hospitals make me anxious ever since my last visit.” Which of the following would be the most appropriate response by the nurse? “Are you usually anxious about unknown situations?” “Do you have any questions about this admission?’ “Are you here for the same reason?” “can you tell me more about that experience?” 23 The nurse is performing a musculoskeletal assessmont for a patient by assessing the patient’s hamatring, Which of the following instructions should the nurse give to the patient to assess the hamstring s mace your nano on the tront of the patients lower leg and prevent extens on of knee. Vel patient, straighten your les With patient’s ankle hexed, push against sole of patientt foot. With patients anide fiexed, push against dortum of patients foot Ted patient, “Bend foot up” With patient’t log extended, place hand on back of the patient’s lower leg and prevent fexion. Tell patient, “Bend your knee” With patient supine, push down on his or her leg above the knee. Tell patient, “Do a leg lift” 24.The nurse is completing a fall risk assessment for a hosphalized cient using the Moree Fall Risk Scale. Which of the following findings, if observed by the nurse, should be included in a risk assessment? The client takes prescribed pain medication. The client requires assistance with meals. The client leans on the bedside table when standing. The client has an indwelling urinary catheter. 25. The nurse is assessing a patient diagnosed with a Cerebral Vascular Accident (brain attack). Which of the following symptoms would require a priority intervention? Patient reports diplopia. Pallent reports paresthesia Patient reports dysphagia. Patient reports aphagia The nurse is reviewing sleep hatits with a patient who reports difficulty with fating ashep. Witen evsuatig sitep distubances, the nurse should ask about which of the fotowing? Select al that souty. The nature of the sleep probiem. How the sleep probiem effects everyday living TRe CoUst of the sicep iober When the sleep probiem began and how often it occurs. Types of sleep treatments the patient has used in the past 27. The nurse is performing an assessment on an older adult. Which of the following questions is most important? ‘Do you take any calcium supplements?” “Have you experienced any muscle stiffners? “What is your ethnicity? “Have you noticed an increase in stumbling or failing in the past year? 29. The nurse should perform an urgent focused assessment rather than a full comprchensive assessment for which of the following cients? A client who is experiencing urinary frequency and dysuria. A client who reports miki abdomins par. e chient wno is expenencing lever and vomiting. e chent wno reports snortness of orealh and has cyanosis. The nurse is assessing the muscle strength of a client with s history of Parkinson’s disease. The nurse notes the client has active movement against gravity in the lower extremities. The nurse should document Grade 3 Grade 1 Grade 2 Grade 4 30. The nurse is caring for a group of assigned hospitalized patients on a Medical Surgical Unit. Which of the following patients should the nurse assess last? The patient with a lea fracture who requested the next dose of prescribed pain medication The patient who had a brain attack who is requesting assistance to the chair. The patient with COPD who is reporting dyspnea with ambulation relieved with rest.

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