Mrs. Tang weighs 110 pounds. You will record this on the flow sheet as
A. 110".
B. 110'.
C. 110 lb.
D. 110 kg.
Answer: C
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The nurse is evaluating the cognitive function of a patient with impaired neurologic functioning after an acute brain injury. What is the best nursing approach for evaluation of orientation to person, place, and time?
A) Ask exactly the same questions each time. B) Ask if the patient knows where he is. C) Vary the questions slightly each time. D) Ask the family to corroborate information.
An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall. The nurse determines that the patient believes she is at home and that the other patients have broken into her home
The clinical nurse specialist suggests that staff use validation. Which of the following responses reflect this intervention? a. "I'm a nurse who has come to check on you. Tell me about your home.". b. "You are in a nursing home. The others here are patients, just like you are.". c. "I wish you could be home, but you have been sick and are in a nursing home.". d. "You are not at home. This is a nursing home. It is September 10th, 2010.".
A female patient has been prescribed a course of antibiotics for the treatment of a UTI. When providing health education for the patient, the nurse should address what topic?
A) The risk of developing a vaginal yeast infection as a consequent of antibiotic therapy B) The need to expect a heavy menstrual period following the course of antibiotics C) The risk of developing antibiotic resistance after the course of antibiotics D) The need to undergo a series of three urine cultures after the antibiotics have been completed
Acquired brain injury is often due to:
a. road accidents. b. misuse of alcohol. c. severe asthma attacks. d. all of the above.