The nurse suspects that an older patient is experiencing Parkinson's disease. What did the nurse observe in this patient? Standard Text: Select all that apply
1. Chorea
2. Tremor
3. Apraxia
4. Agnosia
5. Dystonia
1,2,5
Rationale: Chorea is involuntary twitching of the limbs or facial muscles which is an extrapyramidal manifestation of Parkinson's disease.
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The client has delivered a 4,200g fetus. The physician performed a midline episiotomy, which extended into a third-degree laceration. The client asks the nurse where she tore. Which response is best? "The episiotomy extended and tore:
1. "Through your rectal mucosa." 2. "Up near your urethra." 3. "Into the muscle layer." 4. "Through your rectal sphincter."
Which interventions will help to lessen the effects of sundown syndrome? (Select all that apply.)
a. Provide activity that stimulates the client's interest. b. Assist in toileting to prevent incontinence. c. Turn on lights before the room gets dark. d. Provide companionship. e. Prepare client for sleep by turning off lights. f. Reduce environmental stimulation at dinner. g. Maintain client's familiar routine.
The terminally ill client is prescribed morphine to help cope with increasing discomfort. A family member expresses concern that the client is on "too much morphine." What is the nurse's best response?
a. "What has the physician told you about your family member's illness?" b. "Don't worry about that. We're following the physician's plan of care." c. "Tell me more about what you mean by too much morphine." d. "You should talk with your physician about this when he makes rounds."
The health care provider has prescribed a unit of packed red blood cells to be administered over 3 hours to a child with sickle cell disease. The unit from the blood bank totals 240 ml
What milliliters per hour should the nurse set the infusion pump to deliver the packed red blood cells? Fill in the blank and record your answer in a whole number. ____________