The nurse is planning to use the FOUR tool to assess a patient's neurological functioning. In which areas should the nurse collect data when using this tool? (Select all that apply.)
a. Reflexes
b. Eye response
c. Verbal response
d. Motor movement
e. Breathing pattern
ANS: A, B, D, E
The FOUR tool measures data from four categories: eye response, motor movement, reflexes, and breathing pattern. C. A major benefit of using the FOUR is that no evaluation of verbal response is necessary.
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The male client whose parents died of heart disease early in life is waiting for diagnostic testing results. He is biting his nails and pacing around the room. Which statement should the nurse use to clarify client information?
1. "I can see that you are anxious about dying.". 2. "Tell me more about your family's history.". 3. "Do you have your parents' medical records?" 4. "I'm not sure that I understand what you mean.".
What information provided by the nurse would be helpful to a 15-year-old adolescent taking propylthiouracil three times a day?
a. Pill dispensers and alarms on her watch can remind her to take the medication as ordered. b. She can take the medication when she is nervous and feels she needs it. c. She can take two pills before school and one pill at dinner, which will be easier for her to remember. d. Her mother can be responsible for reminding her when it is time to take her medication.
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which explanation can the nurse provide that may encourage the patient to comply?
a. "If you don't deep breathe and cough, you will get pneumonia." b. "You will need to cough only a few times during this shift." c. "Let's try clearing the throat because that will work just as well." d. "Deep breathing and coughing will clear out the anesthesia."
A drug classification indicated for mood or bipolar disorders is which of the following?
A. barbiturates B. antimanics C. anxiolytics D. major tranquilizers