The nurse is assessing a patient's ears. Which is a primary function of the ears that the nurse will include in the assessment process?
1) Visual assessment
2) Taste assessment
3) Smell assessment
4) Equilibrium assessment
ANS: 4
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A patient who has received a heart transplant is taking cyclosporine. The patient is found to have a systemic Aspergillus infection. What drug would the nurse question if ordered for this patient?
A) Terbinafine B) Posaconazole C) Itraconazole D) Ketoconazole
A 10-year-old boy on a bicycle has been hit by a car in front of a school. The school nurse immediately assesses airway, breathing, and circulation. What should be the next nursing action?
a. Place the child on his side. b. Take the child's blood pressure. c. Stabilize the child's neck and spine. d. Check the child's scalp and back for bleeding.
Which action will the nurse include in the plan of care for a 40-year-old with newly diagnosed ankylosing spondylitis?
a. Advise the patient to sleep on the back with a flat pillow. b. Emphasize that application of heat may worsen symptoms. c. Schedule annual laboratory assessment for the HLA-B27 antigen. d. Assist patient to choose physical activities that allow the spine to flex.
Which of the following statements made by a client after receiving instruction regarding internal radiation would indicate that teaching has been successful?
1. "My children can come visit me after school." 2. "Individuals will need to keep at least 3 feet away when possible." 3. "I will be sharing a room near the nursing station." 4. "The hospital staff will limit the amount of time in my room."