A patient is unable to recognize or name familiar objects during her assessment. You would record this response as
a. agnosia. c. constructional apraxia.
b. apraxia. d. visual amnesia.
A
Agnosia is the inability to recognize the form and nature of objects or persons. Apraxia is the inability to perform purposeful movements despite the preservation of motor ability and sensation. Constructional apraxia is the inability to reproduce figures on paper. Visual amnesia is the inability to appreciate self in relation to the environment and to conceive three-dimensional objects.
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A nurse delegates care to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating hygiene for a client who has a vascular access device?
a. "Provide a bed bath instead of letting the client take a shower." b. "Use sterile technique when changing the dressing." c. "Disconnect the intravenous fluid tubing prior to the client's bath." d. "Use a plastic bag to cover the extremity with the device."
Whenever a suspected victim of violence is brought into the health care system, the first priority is to
1. ensure the client's safety. 2. assure the client's relatives. 3. ensure a thorough nursing assessment. 4. ensure an examination for possible evidence.
The nurse is caring for a patient who has undergone creation of a urinary diversion. Forty-eight hours postoperatively, the nurse's assessment reveals that the stoma is a dark purplish color. What is the nurse's most appropriate response?
A) Document the presence of a healthy stoma. B) Assess the patient for further signs and symptoms of infection. C) Inform the primary care provider that the vascular supply may be compromised. D) Liaise with the wound-ostomy-continence (WOC) nurse because the ostomy appliance around the stoma may be too loose.
The nurse is caring for a client who has had hip replacement surgery 2 days before. The client reports severe pain at the surgical site despite having received 2 Vicodin (acetaminophen and hydrocodone) tablets 2 hours previously
The client is requesting IV pain medication. What is the nurse's primary intervention? a. Assess the surgical site for signs of infec-tion. b. Administer 2 more Vicodin tablets. c. Apply a large ice bag to the operative site. d. Reassure the client that the Vicodin will work soon.