After assessing a client, the nurse determines that the client is able to receive and process stimuli received through sensory organs. This determination is considered:
a. consciousness. c. kinesthesia.
b. sensation. d. perception.
ANS: B
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The intensive care nurse is caring for a client who has Guillain-Barré syndrome. The nurse notes that the client's vital capacity has declined to 12 mL/kg, and the client is having difficulty clear-ing secretions
Which is the nurse's priority action? a. Place the client in a high Fowler's posi-tion. b. Prepare the client for elective intubation. c. Administer oxygen via a nasal cannula. d. Auscultate for breath sounds.
The client is receiving 150 mL of 5.0% saline intravenously in the next 2 hours. What response should the nurse expect as a result of this therapy?
A. Increased blood pressure B. Increased dependent edema C. Increased urine concentration of potassium D. Increased hematocrit and hemoglobin levels
The nurse is planning to administer 10 units of platelets to a patient with thrombocytopenia. The nurse plans to have a platelet count drawn within _______ minutes of the end of the transfusion
Fill in the blank(s) with correct word
A 3-year-old child, recently hospitalized for the exacerbation of a chronic illness, presents for a follow-up appointment at the pediatric clinic. The child's mother states, "He was potty trained before the hospital stay but now he is having daily accidents." Which response by the nurse is most appropriate?
1. "This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished." 2. "Urinary incontinence is a common symptom of progression of cystic fibrosis. Be sure to notify the healthcare provider of this change." 3. "The child may have a urinary tract infection and needs to be evaluated." 4. "Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently."