Answer to Question 1
4
Rationale: It is important to be open-minded when assessing your patient. It is not appropriate to assume that they ate any meal. Per the text, the nurse cannot ask the client what they ate for breakfast, lunch, or dinner because it implies that they should have eaten the meal. Nurses should not hint at a correct response. The nurse should be self-aware of body language, word choices, and tone of voice. The client should be gently prompted. The nurse should clarify what a dietary supplement is and ask questions about their use by this client. The client should be asked how the item was prepared and not given options about which way the food item was prepared. The nurse cannot assume information about serving sizes.
Answer to Question 2
A
Feedback:
Garlic may increase bleeding time when taken with anticoagulants; may decrease the effectiveness of cyclosporine, some calcium channel blockers, chemotherapeutic agents, antifungals, and glucocorticoids; and may interfere with oral contraceptives and antiretroviral drugs.
A nurse prepares a client for anesthesia and surgery.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Assessment of coordination: heel slide.
Performing a Capillary Puncture (Manual)
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