In assessing a patient with head injury, the nurse should be most concerned with which finding?
a. Pain on palpation of the scalp
b. Unilateral clear, watery nasal discharge
c. A scalp laceration at the sight of injury
d. Complaints of dizziness
ANS: B
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The nurse is examining the client's mouth, and discovers leukoplakia. In response to questioning from the nurse, the client reveals it has been there for more than a month. The nurse documents the condition and informs the doctor, anticipating:
1. An order to provide thorough mouth care. 2. A biopsy will be performed. 3. An antifungal medication order. 4. A dental consult.
It is helpful as a nurse to be able to recognize the channel through which your patient communicates if following the primary sensory representation philosophy
Your patient Tamara's sensory representation is visual. Determine which terms would identify visual sensory and (select all that apply): A. An eyeful. B. An earful. C. In light of. D. In view of. E. Hang in there.
One of the major goals of therapy for adolescents with chemical dependency is:
a. Replacing the use of the chemical with effective coping skills b. Placing the chemically dependent adolescent in a residential treatment program c. Finding a group home setting to which the adolescent will be able to adjust d. Isolating the adolescent from family and friends during withdrawal from the chemical
The cardiologist just informed a patient that he has a reentry circuit in the electrical conduction system in his heart. This arrhythmia is called Wolff-Parkinson-White (WPW) syndrome
After the physician has left the room, the patient asks the nurse to explain this to him. Which of the following statements most accurately describes what is happening? A) "This means that the SA node (which is the beginning of your heart's electrical system) has been damaged and is no longer functioning normal." B) "You must have a large clot in one of your arteries that supply oxygenated blood to the special conduction cells in your heart." C) "There is an extra, abnormal electrical pathway in the heart that leads to impulses traveling around the heart very quickly, in a circular pattern, causing the heart to beat too fast." D) "For some reason, your electrical system is not on full charge, so they will have to put in new leads and a pacemaker to make it work better."