In assessing a client with suspected meningitis, the nurse correlates the clinical manifestations below identified by numbers ____________________ with this disease process
(Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. Knee and hip flexion when the head is passively raised
2. The client loses balance when standing with feet together and the eyes closed
3. Pain along the vertebral column when the leg is extended at the knee
4. Severe headache
5. Ptosis
6. Lethargy
ANS:
1, 3, 4, 6
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After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. "The capsules can be opened and the powder sprinkled on applesauce if needed." b. "I will wipe my lips carefully after I drink the enzyme preparation." c. "The best time to take the enzymes is immediately after I have a meal or a snack." d. "I will not mix the enzyme powder with food or liquids that contain protein."
The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. The most essential part of nursing assessment to detect early signs of a worsening condition is
a. Posturing b. Vital signs c. Focal neurologic signs d. Level of consciousness
A parish nurse helps an older woman in the congregation who is taking multiple medications develop a system whereby the woman can more easily remember to take the right medications at the right time
Which is the primary ethical principle observed by the nurse in this situation? A) Autonomy B) Confidentiality C) Beneficence D) Nonmaleficence
The nurse knows it is essential to monitor which laboratory values while a client is being treated with ACE inhibitors and ARBs?
Standard Text: Select all that apply. 1. Electrolyte levels 2. Liver function 3. BUN and creatinine levels 4. Lipid profiles 5. ECG