Author Question: Which following question asked by the nurse during the assessment process is best directed toward ... (Read 73 times)

AEWBW · **on:** Jul 22, 2018

Which following question asked by the nurse during the assessment process is best directed toward gathering information regarding the client's depression?

a. Have you ever felt this depressed before?
b. What do you believe is the cause of your depression?
c. What makes you feel that you are experiencing depression?
d. What can we do to make you comfortable while you are here?

Question 2

A nurse is caring for a patient who just underwent intravenous pyelography that revealed a renal calculus obstructing the left ureter. What is the nurse's first priority in caring for this patient?

a. Turn the patient on the right side to alleviate pressure on the left kidney.
b. Encourage the patient to increase fluid intake to flush the obstruction.
c. Administer narcotic medications to alleviate pain.
d. Monitor the patient for fever, rash, and difficulty breathing.

ilianabrrr · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
What do you believe is the cause of your depression? is an open-ended question that encour-ages the client to express his or her own insight and personal stories regarding his or her condi-tion.
Have you ever felt this depressed before? is a closed-ended question requiring only a yes or no response and so provides minimal information regarding the client's condition.
While the question What makes you feel that you are experiencing depression? is an open-ended question, it is not the best option because it is not directed toward assessment of the client's current complaint.
While the question What can we do to make you comfortable while you are here? is an open-ended question, it is not the best option because it is directed at the client's comfort, not toward assessing his or her current complaint.

Answer to Question 2

D
Intravenous pyelography is performed by administering iodine-based dye to view functionality of the urinary system. Many individuals are allergic to shellfish; therefore, the first nursing priority is to assess the patient for an allergic reaction that could be life threatening. The nurse should then encourage the patient to drink fluids to flush dye resulting from the procedure. Narcotics can be administered but are not the first priority. Turning the patient on the side will not affect patient safety.