The nurse realizes that the function not performed by the brain stem would be:
a. connects the upper and lower levels of the CNS.
b. controls vital functions such as heart rate and breathing.
c. prevents coma by maintaining wakefulness.
d. helps control motor functions.
ANS: D
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The nurse develops a care plan for a patient who has been prescribed a folic acid derivative that includes what priority nursing diagnosis?
A) Deficient knowledge regarding drug therapy B) Monitor possibility of hypersensitivity reactions C) Acute pain related to injection or nasal irritation D) Risk for fluid volume imbalance related to cardiovascular effects
A nurse is caring for a patient who has a leg cast. The nurse observes that the patient uses a pencil to scratch the skin under the edge of the cast. How should the nurse respond to this observation?
A) Allow the patient to continue to scratch inside the cast with a pencil but encourage him to be cautious. B) Give the patient a sterile tongue depressor to use for scratching instead of the pencil. C) Encourage the patient to avoid scratching, and obtain an order for an antihistamine if severe itching persists. D) Obtain an order for a sedative, such as lorazepam (Ativan), to prevent the patient from scratching.
The nurse and nursing assistive personnel (NAP) are caring for a group of patients on the medical-surgical floor. For which of the following patients can the nurse delegate to the NAP the task of bathing? Select all that apply
a. 75-year-old patient newly admitted with dehydration b. 65-year-old patient hospitalized for a stroke, whose blood pressure reading is 189/90 mm Hg c. 92-year-old patient with stable vital signs who was admitted with a urinary tract infection d. 56-year-old patient with chronic renal failure who has vital signs within his normal range
Additional effects that drugs have on the body that are not part of the goal of drug therapy are termed ________ effects.
Fill in the blank(s) with the appropriate word(s).