The nurse is triaging a patient who just presented to the emergency department. Which cluster of assessment findings would the nurse evaluate as indicating the greatest possibility that this patient is having a stroke?
1. Radicular pain, decreased deep tendon reflexes, loss of bladder control
2. Difficulty with balance, hemianopsia, hemiparesis
3. Dystonia, dysphagia, dysarthria
4. Paresthesia, priapism, loss of reflexes
Answer: 2
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An infection control nurse develops a plan to decrease the number of health care professionals who contract viral hepatitis at work. Which ideas should the nurse include in this plan? (Select all that apply.)
a. Policies related to consistent use of Standard Precautions b. Hepatitis vaccination mandate for workers in high-risk areas c. Implementation of a needleless system for intravenous therapy d. Number of sharps used in client care reduced where possible e. Postexposure prophylaxis provided in a timely manner
When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxy-genation is:
1. absence of cyanosis in the buccal mucosa. 2. cool, dry skin. 3. diminished restlessness. 4. urinary output of at least 30 ml/hr.
A patient who has been diagnosed with social anxiety disorder will begin taking venlafaxine (Effexor). The nurse who performs a medication and dietary history will be concerned about ingestion of which substance or drug?
a. Coffee b. Grapefruit juice c. Oral hypoglycemic drug d. St. John's wort
How do most elderly people compare to most younger people?
A. More elderly are socially isolated with few social contacts. B. More elderly change jobs more frequently and have more job-related accidents. C. More of the elderly are not pleased with their life. D. Most elderly engage in most normal activities.