A Client Arrives in the Emergency Department with Complaints of Intermittent

question 14

Multiple Choice

A client arrives in the emergency department with complaints of intermittent nosebleeds over the past two days. Which are priority assessments for the nurse to implement when providing care to this client?

• A) Request information from the client regarding increased propensity for bruising or bleeding.
• B) Assess the tonsils for redness or swelling.
• C) Obtain a blood pressure.
• D) Check for deviated septum.
• E) Request information from the client to determine if there was any recent thin, watery drainage from the nose.

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Definitions:

Diagnosis

The process of identifying a disease or condition from its signs and symptoms, using a variety of assessments and tests.

Tests

Assessments or evaluations conducted to measure knowledge, skill, health, quality, or performance.

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CD4 Counts

A measurement of the number of CD4+ T lymphocytes in the blood, important in assessing the immune function of individuals, especially in the context of HIV infection.