Which of the following assessment findings would lead the nurse to suspect that a client has Bell's palsy?
A) Inability to detect sharp and dull stimuli
B) Inability to wrinkle the forehead
C) Closure of the affected eye from swelling
D) Muscle spasm of the lower face on the affected side
B
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Which of the following nursing diagnoses would be most appropriate for an older adult who recently lost his wife of 50 years after a long history of breast cancer?
1. Activity Intolerance 2. Ineffective Role Performance 3. Feeding Self-Care Deficit 4. Risk for Other-Directed Violence
A patient is brought to the ED by paramedics who report the patient has partial-thickness burns on the chest and legs. The patient has also suffered smoke inhalation
What is a priority in the care of a patient who has been burned and suffered smoke inhalation? A) Pain B) Fluid balance C) Anxiety and fear D) Airway management
A patient with a head injury is being monitored with an intraventricular catheter. The nurse would design interventions based on which priority patient problem?
1. There is a risk the patient's brain will be injured by the catheter. 2. Presence of the catheter alters the patient's intracranial adaptation capacity. 3. The catheter is painful for the patient. 4. There is a high risk for infection related to this catheter.
A client informs the nurse she is allergic to a certain medication. To verify the allergic condition, the nurse should ask the client:
A) "Can you explain what happens when you take the medication?" B) "Are you allergic to any other medications?" C) "How many times did you take the medication?" D) "Did you take the medication on an empty stomach?"