An assessment tool that is widely used for baseline mental status but not designed specifically as a screening device for delirium or acute confusional states is the:
a. Brief Cognitive Rating Scale (BCRS)
b. Minnesota Multiphasic Personality Inventory (MMPI)
c. Mini-Mental State Exam (MMSE)
d. Clinical Assessment of Confusion (CAC-B)
C
The Mini-Mental State Exam (MMSE) is an assessment tool that is widely used for baseline mental status. However, it is not designed specifically as a screening device for delirium or acute confusional states.
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Two days after a hypophysectomy a patient complains of a headache and nuchal rigidity. What action should the nurse take based on these assessments?
a. Medicate with the prescribed analgesic. b. Report suspected meningitis to the head nurse. c. Closely monitor the patient's blood pres-sure. d. Elevate the head of the bed to 45 degrees.
Discharge planning requires all of the following except:
a. assessing the patient's plan of care to determine whether the outcome criteria are met. b. evaluation of whether the patient and family can continue with the necessary in-terventions or whether they need assistance. c. obtaining specific orders from the physician to begin the process of discharge planning. d. assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen.
Mr. Jenkins has an IV of 2000 mg of lidocaine in 500 mL D5W started at 3 mg/min and titrated up at 1
mg/min based on heart rhythm. He has received a total of 150 mL of solution. How much lidocaine has he received? A. 60 mg B. 200 mg C. 150 mg D. 600 mg
A 3-month-old infant has a hypercyanotic spell. The nurse's first action should be which of the following?
a. Assess for neurologic defects. b. Prepare family for imminent death. c. Begin cardiopulmonary resuscitation. d. Place child in the knee-chest position.