Which one of the following might appear to be a mentally disturbed or mentally retarded person but be mentally healthy?
a. An elderly person
b. A diabetic
c. An intoxicated person
d. All of the above can display symptoms.
Answer: d. All of the above can display symptoms.
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A neonate is being fed 20 mL every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which of the following would be the most appropriate action by the nurse?
1. Withhold the feeding and notify the physician. 2. Replace the residual and continue with the full feeding. 3. Replace the residual, but only give 5 mL of the feeding. 4. Withhold the feeding and check the residual in three hours.
A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding,
as well as other areas that have a white, cheesy coating. The nurse recognizes that this abnormality is: a. Aphthous ulcers. b. Candidiasis. c. Leukoplakia. d. Koplik spots.
The nurse is providing a conference on nonpharmacological pain control methods. What major advantages of nonpharmacological pain control methods will the nurse include in the presentation? (Select all that apply.)
a. They sedate the mother. b. They do not slow labor. c. They do not dull the excitement of the birth experience. d. They do not have the potential to cause allergic reactions. e. They do not have to be delayed until labor is well established.
Identify a goal of a patient with the following nursing diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to diet choices inadequate to meet nutrient requirements of pregnancy
a. Gain a total of 30 lb. b. Take daily supplements consistently. c. Decrease intake of snack foods. d. Increase intake of complex carbohydrates.