Patient information continued…  Mr. Jones was stabilized with diuretics and symptoms of dyspnea and edema resolved. He is preparing to be discharged home with his wife and daily visiting nursing services. He is feeling anxious about leaving the hospital; he feel uncertain about how strong his heart is and fears he may have another heart attack.    Mr. Jones is struggling with depression and anxiety following his myocardial infarction. Which of the following statements is true regarding mental health assessment?

Based on Mr. Jones’s clinical presentation, the nurse is most concerned for:

Patient information continued… Mr. Jones arrives at the emergency department of his local hospital. He already has IV access established from the paramedics. The nurse provides a does of oral nitroglycerin, starts Mr. Jones on supplemental oxygen via nasal cannula, and administers a dose of IV morphine. The physician has been notified of Mr. Jones’s arrival and is on his way from the floor. The nurse proceeds to perform her intake assessment of Mr. Jones.    When palpating the point of apical impulse, the nurse appropriately places her fingers on:

The nurse notes auscultation of a bruit in the right femoral region. What is a bruit?

When approaching the subjective assessment of chest pain, the nurse utilizes which mnemonic to gather pertinent information?

Patient information continued…Mr. Hanks has been managing his care at home with the assistance of his son. One morning, Mr. Hanks slipped and fell on an icy sidewalk while attempting to retrieve the morning paper. An open reduction and internal fixation (ORIF) was performed and the patient was admitted to a short-term rehabilitation to regain strength before returning home. After four weeks, it has been determined that Mr. Hanks may return home with visiting nursing services and home physical therapy visits. He will follow up with his primary care provider and orthopedist on a regular basis.    A critical function of the nurse is medication reconciliation. The process of medication reconciliation is best described as: 

When evaluating the geriatric patient, the nurse is incorrect in stating: 

The nurses current priority is to determine whether the chief complaint is related to uterine issues.  What are the focused questions that the nurse needs to ask the patient:

Patient information continued…Mr. Hanks has been on a cognition-enhancing medication and been takin part in local community center fall prevention exercise classes and denies any new falls. Mr. Hanks’s son reports following a home safety plan that the geriatric provider advised.   Which statements made by the son alert the nurse that he understood the teaching. (Select all that apply)

Patient information continued…The patient states she has a boyfriend, also 17 years old. They go to school together and have been dating for almost 10 months. They have been experimenting with oral sex over the past six months using coitus interruptus. They did use a condom the last time they had sexual intercourse, which was two days ago.    The patient further states this is the only boy with whom she has done more than just kissing. She believes her boyfriend was also a virgin when they began their relationship. She has never been pregnant and has never received gynecological care.    Critically think through all the collected data and list any concerning clinical assessment data.