When a nurse makes a home visit and finds that a previously alert and oriented elderly client is demonstrating early signs of confusion, the nurse suspects that the client may be experiencing the onset of
A) Infection
B) Hyperglycemia
C) Hepatic encephalopathy
D) Hyperkalemia
Ans: A
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Nonverbal communication does not refer to
a. Body posture b. The most honest communication method c. Sharing messages using words d. The kind of clothes a person wears
Amelia has tested HIV positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
a. "Even though my test is positive, my baby might not be affected." b. "I know I will need to have an abortion as soon as possible." c. "This pregnancy will probably decrease the chance that I will develop AIDS." d. "My baby is certain to have AIDS and die within the first year of life."
The home health nurse conducts a safety assessment in a patient's home. Which of the following would be identified as a fire hazard?
a. Baking soda near the stovetop b. A smoke detector in the kitchen c. Multiple appliances plugged into one outlet d. A metal container for cigarettes
A patient is hospitalized for an acute episode of schizophrenia. A nurse finds the patient in the lounge nude and telling everyone, "I am the body beautiful.". The most appropriate intervention for the nurse would be to:
a. tell the patient to put on clothes immediately and to not undress in public again. b. take the patient back to the assigned room and then assist the patient with getting appropriately dressed. c. ignore the behavior and share with the other patients that the patient has no control over it. d. seclude the patient until control can be regained and clearly define why the behavior is unacceptable.