A patient has a severe vitamin B12 deficiency. The nurse will make it a priority to assess for alterations in which system?
A. Renal
B. Neurologic
C. Integumentary
D. Gastrointestinal
Answer: B. Neurologic
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The plan of care for a client with obsessive-compulsive disorder relative to self-esteem enhancement
should include (more than one answer may be correct) A. encouraging the client to identify and reinforce strengths. B. encouraging the client to examine negative self-perceptions. C. encouraging the use of as-needed anxiolytic medication. D. assisting the client to identify positive responses from others. E. refraining from giving praise to the client for accomplishments. F. discouraging experiences that increase client autonomy.
A client is receiving treatment for a head injury. How should the nurse position such a client to reduce the risk of further injury?
A) Maintain the client in a sitting position for as long as possible. B) Elevate the rest of the client's body slightly above the neck and head. C) Position the neck and head in line with the rest of the client's body. D) Elevate the client's head slightly while keeping the neck neutral.
The nurse is caring for a patient diagnosed with severe acute respiratory syndrome (SARS). For what conditions should the nurse assess in this patient?
Select all that apply. 1. nasal flaring 2. restlessness 3. anxiety 4. decreased level of consciousness 5. sputum production
Which assessment findings would prompt a nurse to suspect that a 15-year-old patient may be a victim of serial ritual abuse?
a. Lying in a fetal position; echolalia; body rocking b. Multiple scars and burns; missing teeth; fear of being examined c. Scarred index finger; tooth enamel erosion; sores around mouth d. Acting-out behaviors; verbal aggression; arrested for grand larceny