An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic
What does the nurse suspect the adolescent has used?
a.
Alcohol
b.
Cocaine
c.
Amphetamines
d.
PCP
ANS: A
Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and violence.
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The nurse is assessing the apical pulse of a 3-month-old infant and finds that the heart rate is 135 beats per minute. The nurse interprets this result as:
a. Normal for this age. b. Lower than expected. c. Higher than expected, probably as a result of crying. d. Higher than expected, reflecting persistent tachycardia.
A nurse is caring for a client dying of HIV-related pneumonia. The client is unable to come to terms with the fact that she is dying and feels that life has been unfair to her. How can the nurse promote acceptance of death in this client?
A) Tell the client that the illness can be overcome. B) Ask the client if she wants to meet and thank her loved ones. C) Inform the client that the reports show improvement. D) Ask the relatives not to discuss death in front of the client.
Home health nurses have some different nursing activities than those of community health nurses. Which statement best describes the home health nurse's activities?
a. Conducting health education classes in a senior citizens' common residence build-ing b. Conducting blood pressure screening on a regular basis at a local mall c. Visiting and assessing the home care and further teaching needs of a patient who has been recently discharged from the hospital d. Acting as a nurse consultant to a chronic psychiatric section in a state institution
Team Member A and Team Member B engage in heated disagreements on a frequent basis in team meetings
Their behavior is characterized by insistence on their points of view and refusal to back down or to negotiate alternative solutions once their ideas have been expressed. This be-havior is characteristic of: a. Autocratic leadership. b. Constructive conflict. c. Dualism. d. Creativity.