During the taking of the health history, a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this finding as:
a. Vertigo.
b. Syncope.
c. Dizziness.
d. Seizure activity.
ANS: A
True vertigo is rotational spinning caused by a neurologic dysfunction or a problem in the vestibular apparatus or the vestibular nuclei in the brainstem. Syncope is a sudden loss of strength or a temporary loss of consciousness. Dizziness is a lightheaded, swimming sensation. Seizure activity is characterized by altered or loss of consciousness, involuntary muscle movements, and sensory disturbances.
You might also like to view...
The nurse is asked to assist a family with finding help to care for their terminally ill grandfather who was just diagnosed with inoperable brain cancer. To which of the following programs would the nurse refer the family?
a. the hospital b. respite care c. hospice d. visiting nurse association
An emergency room nurse is caring for an older patient brought in by a neighbor. The neighbor states that the patient lives with a son who "drinks a lot."
What does the nurse assess that suggests elder neglect? Standard Text: Select all that apply. 1. Thick, yellow fingernails 2. Pressure ulcer on the sacrum 3. Dry, cracked lips and tongue 4. Small skin tears to the right elbow 5. Cracked, dry skin on the lower legs bilaterally
The nurse understands that which client is at greatest risk for digoxin toxicity? The client a with:
a. digoxin level of 1.3 mg/mL. c. potassium level of 5.2 mEq/L. b. creatinine level of 0.8 mg/dl. d. potassium level of 3.0 mEq/L.
How are surgical needles classified?
You are assigned to a general surgery theatre where the cases for the day are being performed laparoscopically. Mrs Young, a 44 year-old female, is booked on the emergency list for a laparoscopic cholecystectomy. Mrs Young weighs 110 kg. What will be an ideal response?