After assessing a patient, a nurse documents the state of awareness as confused. What part of the brain controls awareness?
A) cranial nerves C) hypothalamus
B) reticular activating system D) medulla
B
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A nurse preceptor asks a new graduate what should be included in a nurse's periodic shift assessments of the newborn. The new graduate would be correct in responding which of the following? (Select all that apply.)
a. Vital signs d. Body weight b. Elimination details e. Feeding and hydra-tion status c. Respiratory and car-diac function f. Hip movements for DDH
A client is receiving an infusion of vasopressin to treat bleeding esophageal varices. Which clinical manifestation would indicate a serious adverse effect of the drug?
A. Acute nausea and vomiting B. A pounding frontal headache C. Vertigo and syncope D. Midsternal chest pain
Caregivers could best reduce the number of infections that infants have by:
a. taking the infant to the pediatrician's office whenever the infant has a fever, diarrhea, or nasal discharge b. washing hands frequently, not kissing the infants' hands, and washing all objects that go into a baby's mouth c. limiting the number of people who visit the home and not letting other people pick up and hold the baby d. starting medication sooner whenever the infant has a fever or any other symptoms of infection
A 40-year-old female client has never experienced an intimate relationship. A nursing student tells an instructor that this client remains in Erikson's developmental stage of intimacy versus isolation
What is the instructor's most appropriate reply? A. "Erikson's stages of development are assessed by chronological age, not task achievement. This client is in the generativity versus stagnation stage, which occurs from 30 to 65 years of age." B. "Erikson's stages of development are assessed by task achievement, not chronological age. This client is in the intimacy versus isolation stage, which occurs from 20 to 30 years of age." C. "Erikson's stages of development are assessed by task achievement, not chronological age. This client is in the generativity versus stagnation stage, which occurs from 30 to 65 years of age." D. "Erikson's stages of development are assessed by chronological age, not task achievement. This client is in the intimacy versus isolation stage, which occurs from 20 to 30 years of age."