The nurse concludes that a patient's meningitis is improving when the patient can perform which of the following activities?
a. Maintain a side-lying position in bed.
b. Sit up and drink water.
c. Touch the chin to the chest.
d. Dorsiflex both feet.
ANS: C
Ability to touch the chin to the chest indicates improvement in nuchal rigidity. A, B, and D are not specific to improving infection.
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The client with sickle cell anemia, who has been hospitalized for another health problem, says that he has had an erection for over 4 hours. What is the nurse's best action?
A. "Tell the client that his sexual conversations are not appreciated." B. "Attempt to induce urination by applying pressure to the bladder." C. "Document the report as the only action." D. "Notify the physician."
The nurse is wondering if the cancer treatments might be more harmful than the progression of the disease because of the dangerous side effects of chemotherapy. What ethical principle is the nurse struggling with in this situation?
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A patient diagnosed with schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance?
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