The nurse is performing a neurological assessment. Which patient behaviors demonstrate a level of consciousness within normal limits?
a. States name, age, and date but not location
b. Is lethargic; responds logically to ques-tions
c. Responds verbally, but words are unintel-ligible
d. Responds to questions spontaneously; is alert and oriented
D
The patient who responds to questions spontaneously and is alert and oriented exhibits neurolog-ical findings that are within normal limits. The patient is conscious, responds to the environment, and has congruent thought processes. The patient who does not know the location is disoriented to place. Lethargy is not a normal finding despite correct responses. Unintelligible speech is ab-normal.
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A nurse manager has a strong belief in the value of certification for staff nurses. Unfortunately, only two staff members are certified
How could the manager encourage the remaining staff to seek certification? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Make it a job requirement. 2. Obtain grant monies to fund purchase of materials for certification. 3. Support those who are seeking certification with study sessions and helpful study hints. 4. Work with administration to obtain a salary adjustment for those who become certified. 5. Role-model the behavior by becoming certified.
Which of the following age ranges is generally accepted as being middle age for adults?
a. 30 to 45 b. 35 to 55 c. 40 to 65 d. 45 to 55
The nurse is able to percuss a dull tone over a client's bladder after the client has voided 300 ml of urine. The nurse would conclude which of the following is most likely the cause of this finding?
1. This is a normal finding 2. Possible urinary tract infection 3. This is a sign of prostate enlargement 4. Probable urinary retention
A client has a gastrectomy and vagotomy for treatment of peptic ulcer disease. Why was the vagotomy performed?
a. to anastomose the remaining portion of the stomach to the bowel b. to remove the vagal innervation to the fundus of the stomach c. to remove the perforated section of the sto-mach or bowel d. to prevent further hemorrhage from the site