A person has a convulsive disorder. When measuring temperature, you cannot use the:
a. Oral site
b. Temporal artery site
c. Axillary site
d. Tympanic membrane site
A
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The nurse is working with a client who exhibits a grandiose sense of self-importance. This characteristic is associated with which of the following personality disorders?
1. Narcissistic personality disorder 2. Avoidant personality disorder 3. Histrionic personality disorder 4. Dependent personality disorder
A patient with cancer is taking rasburicase [Elitek] to treat hyperuricemia and develops neutropenia with fever and respiratory distress on the fourth day of treatment. The nurse caring for this patient will expect to:
a. administer allopurinol instead of rasburi-case. b. continue giving the drug and monitor the patient's symptoms closely. c. tell the patient that this drug should never be used again. d. tell the patient that these symptoms indi-cate severe sepsis.
A nurse is teaching a patient who is a recent immigrant from an Asian culture. The patient listens politely to discharge instructions and agrees to follow them
Two days later, the patient is readmitted, and the nurse is surprised to find none of the discharge instructions have been followed. The nurse would most likely conclude the patient a. did not have the resources to adhere to the directions. b. is noncompliant or he or she would have asked questions. c. lacked enough knowledge to follow through the instructions. d. was too embarrassed to indicate a lack of understanding.
The charge nurse on a hospital unit is developing plans of care related to separation anxiety
The charge nurse recognizes that the hospitalized child at highest risk to experience separation anxiety when parents cannot stay is the 1. 6-month-old 2. 18-month-old 3. 3-year-old 4. 4-year-old