A nurse is assessing a patient for delirium versus dementia. What should the nurse expect the patient with dementia to display?
a. Intermittent fear affect
b. Perplexity affect
c. Bewilderment affect
d. Flat affect
D
The patient with dementia will have a flat or indifferent affect. The other three choices would be presented by a patient with delirium.
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A nurse is counseling women about the lactational amenorrhea method of contraception. Which of the following women would the nurse advise to use another method of contraception if pregnancy is not desired? (Select all that apply.)
A. Baby is 5 months old and started on cereals. B. Baby is 8 months old; menses have not resumed. C. Baby is 4 months old; breastfed exclusively. D. Dad feeds 5-month-old baby the mother's stored breast milk. E. Mother uses breast pump while at work.
The nurse observes a continual oozing of stool from the rectum of a patient who has been immobilized following surgery. The nurse recognizes that this condition most likely a result of which of the following?
a. Diarrhea b. Flatulence c. Fecal impaction d. The Valsalva maneuver
Which finding should the nurse expect when assessing the patient with acute kidney injury?
A) Peripheral neuropathy B) Enlarged kidney C) Normal hemoglobin D) Bone pain
Through a routine complete blood count, a patient is found to have a platelet count of 90,000/mcL. The nurse realizes that which of the following should be done for this patient?
1. limit the ingestion of green leafy vegetables 2. implement bleeding precautions 3. restrict fluids 4. monitor urine output