Mitt restraints prevent:
a. Finger use
b. Hand movements
c. Wrist movements
d. Arm movements
A
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Later in the day you find this patient standing in the lounge in a strange position: on one leg with both arms extended. How should you respond?
A. Ignore the behavior, as this must be something she needs to do. B. Tell the patient sternly that this is not appropriate and to move to her room. C. Calmly acknowledge the position and ask the patient to stand on both legs. D. Encourage other patients in the lounge to do the same position to make the patient more comfortable.
Which nursing diagnosis is considered a priority for a client who experienced a stroke 24 hours ago?
A. Disturbed Sensory Perception B. Ineffective Tissue Perfusion C. Impaired Physical Mobility D. Impaired Swallowing
Parents of a child recently diagnosed with Down syndrome relate to the nurse that they "feel guilty about causing the condition." The best response by the nurse is
1. "Down syndrome is a conditioncaused by an extra chromosome;the cause of it is unknown." 2. "Down syndrome is a condition thatis genetically transmitted from both the father and the mother.""Down syndrome is a condition thatis carried on the X chromosome,so it came from the mother." 4. "Down syndrome is caused by birthtrauma,not by genetics."
A child is diagnosed with severe allergic rhinitis. Which of the following manifestations would the nurse most likely assess in this client?
1. Edematous neck glands 2. Reduced hearing 3. Pruritis 4. Frequent wiping of the nose with the palm of the hand