A school nurse is called to the playground where a 6-year-old girl has been found unresponsive and "staring into space," according to the playground supervisor. How would the nurse document the girl's activity in her chart at school?

A) Generalized seizure
B) Absence seizure
C) Focal seizure
D) Unclassified seizure


Ans: B
Feedback:
Staring episodes characterize an absence seizure, whereas focal seizures, generalized seizures, and unclassified seizures involve uncontrolled motor activity.

Nursing

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An Anglo-American nurse is required to interview a Native American client. Which of the following points is important for a nurse to consider when interviewing the client?

A) Sit close to the client and let interactions unfold slowly B) Speak words or phrases in the client's language C) Write notes after the interview D) Ask open-ended rather than direct questions

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A mechanical prosthetic heart valve client is admitted with leukopenia and abdominal pain. Which diagnostic lab data would the nurse access first?

A) Complete blood count (CBC) B) Prothrombin time and international normalized ratio (PT/INR) C) Blood urea nitrogen (BUN) D) Sodium (Na++) and potassium (K+) level

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The infant's temperature is monitored and recorded

A. every 15 minutes until stable, then every 4 hours. B. every 30 to 60 minutes until stable, then every 4 hours. C. every 120 minutes until stable, then every 6 hours. D. every 4 hours until stable, then every 8 hours.

Nursing

The nurse has been working with a client and family of the Buddhist faith. The client, who was extremely ill, died a few minutes ago. What does the nurse recognize is true about clients from this cultural background?

a. They will refuse an autopsy. b. They refuse nourishment and medication prior to dying. c. They will select burial rather than cremation. d. They view death as a step toward rebirth.

Nursing