A patient is scheduled for a lumbar puncture to assess for subarachnoid hemorrhage. The nurse should check to see if which test has been performed prior to the procedure?

1. Serum glucose
2. BUN
3. Chest X-ray
4. CT scan of the head


4
Rationale 1: While many laboratory tests will probably be done on this patient, serum glucose is not the most critical.
Rationale 2: While many laboratory tests will probably be done on this patient, BUN is not the most critical.
Rationale 3: While a chest X-ray may be done on this patient, it is not the most critical test.
Rationale 4: Lumbar puncture should not be performed until the presence of a space-occupying lesion is ruled out.

Nursing

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A client is scheduled to undergo a prostate biopsy. The client asks the nurse what is expected immediately following the procedure. Which response by the nurse is the most appropriate?

A) "You will need to avoid strenuous activity for 24 hours." B) "Your sexual partners will need to be notified." C) "You will likely experience discomfort for 24-48 hours after the procedure." D) "You will not have any restrictions following the biopsy."

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You are performing your shift assessment of your patient. You find his mental status, level of consciousness, speech, and orientation are intact and at baseline. Your patient tells you he is very anxious. What would you do next?

A) Assess oxygen levels B) Give anti-anxiety medications C) Notify the physician D) Make a social services consult

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A diabetic patient presents to the clinic and is diagnosed with a mononeuropathy. What does the nursing care of this patient involve?

A) Protection of the affected limb from injury B) Exercises for the affected limb C) Information on support groups D) Assistive devices to prevent foot drop

Nursing

A young mother tells you that her 6-month-old baby has a cough and that she is giving the baby an OTC cough and decongestant preparation. You teach this young mother:

1. that over-the-counter medication is safe for infants. 2. that these products are not safe for infants. 3. that these products are safe if given diluted. 4. that these products are safe in infants over 6 months.

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