A patient was the unrestrained driver of a car that was struck head on by another vehicle. During initial assessment, the nurse observes another nurse using supraorbital pressure to assess for response. What nursing intervention is indicated?
1. Hold the patient's head still so that the test will be valid.
2. Stop the procedure.
3. Ask the nurse to repeat the procedure on the other orbit.
4. Document the response as 1+, 2+, 3+, or 4+.
Answer: 2
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The nurse admits a couple to the infertility center, and the woman asks how long after ovulation conception is possible. The nurse's most accurate response is:
1. "The sperm and ova are viable for only 2-3 days." 2. "The sperm and ova are viable for only 6-8 hours." 3. "The sperm and ova are viable for only 24-36 hours." 4. "The sperm and ova are viable for only 8-10 hours."
Although the patient denies pain, she is irritable, responds slowly, and exhibits periods of tachycardia; therefore, the nurse assesses for:
a. electrolyte imbalance. b. allergic response. c. sleep deprivation. d. constipation.
The parents of a 17-year-old who is receiving state-funded substance abuse treatment have asked the provider for information about their child. What is the correct action by the health care provider?
1. Refuse the request pursuant to the provision of the common-law duty to disclose. 2. Refuse the request as it is likely to interfere with the treatment plan. 3. Release the information immediately as parents always can receive information on minor children. 4. Release information only if the patient has signed consent to do so.
A patient who is taking doxycycline for a serious infection contacts the nurse to report anal itching. The nurse will contact the provider to discuss:
a. adding an antihistamine to the patient's drug regimen. b. ordering liver function tests to test for he-patotoxicity. c. prescribing an antifungal drug to treat a superinfection. d. testing the patient for a C. difficile sec-ondary infection.