Which assessment findings would the nurse interpret as being possible signs of sensory overload in a hospitalized client? (Select all that apply.)
1. Sleeplessness
2. Anxiety
3. Apathy
4. Racing thoughts
5. Somatic complaints
Correct Answer: 1
Rationale: Sleeplessness, anxiety, and racing thoughts are often indicators of sensory overload. Apathy and somatic complaints are more associated with sensory deprivation.
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Sally Garner is a case manager for a home health agency and has been assigned to care for Bessie Smith, an 82-year-old woman who has been admitted to services following a stroke. As Bessie's case manager, Sally will
1. Assign her care to one of the nurses who specializes in stoke clients. 2. Consult with her family to determine what services they desire. 3. Contact Centers for Medicare & Medicaid Services (CMS) to determine what services will be covered by Medicare. 4. Outline a comprehensive plan of care and coordinate the activities of other health care providers.
The nurse prepares to administer cyanocobalamin. By which route(s) can this agent be delivered? You may select more than one answer
a. Oral b. Deep subcutaneous c. Intramuscular d. Intravenous e. Intranasal
Which of the following defects results in obstruction to blood flow?
a. Aortic stenosis b. Tricuspid atresia c. Atrial septal defect d. Transposition of the great arteries
When assessing a client's spirituality, the client completes a Brief Religious Coping Questionnaire. When reviewing the completed questionnaire, the nurse identifies which of the following as indicating positive religious coping?
A) Client feels stress is a punishment from God B) Client wonders if God has abandoned him or her C) Client looks to God for support in a crisis D) Client decides what to do without relying on God