Patient W has been a patient on your medical unit for 4 days. Patient W's main symptoms included sudden blindness and paralysis of all fingers. Medical diagnosis has been negative; patient W has been given the diagnosis of "conversion disorder
" An appropriate nursing action for patient W would be:
A) Let patient W know that you understand the symptoms are real to him or her
B) Discuss the physical symptoms with patient W in detail
C) Understand that there is no need to report or record new physical "complaints" because you now know the condition is not "medical" in nature
D) Reinforce the secondary gain, because you know doing so is beneficial to the patient's recovery
A
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A 55-year-old patient complains of lower back pain due to heavy lifting at work yesterday. He reports weakness of the left leg and paresthesias in the left foot
On physical examination, the patient has diminished ability to dorsiflex the left ankle. Which of the following symptoms should prompt the clinician to make immediate referral to a neurosurgeon? A. Straight leg raising sign B. Lumbar herniated disc on x-ray C. Loss of left sided patellar reflex D. Urinary incontinence
The nurse is concerned that an older patient with a chronic illness is on a trajectory towards frailty and dependence. From the nursing assessment findings listed, which is the priority?
1. Sustained cognitive impairment 2. Conditions controlled with medications 3. Family that phones several times a day 4. A decline in functional ability
The RN fulfills the role of a leader by
a. acting as an advocate for the client by relating the client's desires to the health care provider. d. easing the transition to the new working environment by teaching the philosophy of the unit. b. seeing the client as having the control and ability to manage the treatment regimen. e. explaining to co-workers the rationale behind decisions, schedules, and assignments. c. discussing co-workers with other nurses to clarify issues. f. reminding other nurses of the opportunities of the nursing profession and motivating them to do their best.
A nurse is to administer 11/2 (1.5) mg of a medication to a client, and the medication is
available as 1/3 (0.33) mg scored tablets. How many tablets should the nurse give to administer the prescribed dose? A) 4 tablets B) 41/2 tablets C) 5 tablets D) 51/2 tablets