A nurse is caring for four clients. Which client is most likely to have continuous amnesia?
A) A client who has no memory of his entire lifetime, including his personal identity.
B) A client who knows that her mother beat her as a child but cannot remember the details of any of the beatings.
C) A client who was driving the car in which her best friend was killed but cannot recall the accident or events since the accident.
D) A client whose home was destroyed in a tornado but only remembers hearing the tornado hit, the ambulance siren, and waking up in the hospital.
C
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A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to
A) try to distinguish between normal signs of aging and the adverse drug effects. B) report adverse effects of drug therapy to the prescriber. C) wait several days to see if the symptoms subside. D) hold the patient's medications until a doctor can see the patient.
The nurse suspects that an infant has a visual disorder caused by abnormal musculature. To detect this disorder,the nurse would perform
1. a cover/uncover test. 2. an ophthalmologic exam. 3. a vision-acuity exam. 4. a pupil-reaction-to-light test.
Which is a main disadvantage to home visits?
a. Convenience for the client b. Time spent with one client c. Client control of the setting d. Ability to individualize services
You are asked to make an occupied bed for Mr. Lawrence. He is turned onto his left side. What should you do to ensure his safety while you make the bed?
A. Turn Mr. Lawrence onto his back for the procedure. B. Raise the side rail next to Mr. Lawrence. C. Assist Mr. Lawrence to a chair while you quickly change his bed linens. D. Stand at the side of the bed, so Mr. Lawrence will not fall out.