Are you surprised by Y.W.'s periodic agitated behavior? Explain
What will be an ideal response?
No. After a severe head injury, a normal consequence is that patients frequently have residual
physical and cognitive disabilities. Expect to see changes in personality and behavior, including
increased fatigue, irritability, temper outbursts, depression, impaired concentration and attention,
impaired information processing, and memory problems.
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Nursing assessment of the child's respiratory system must be done quickly because of which of the following?
1. The child is more vulnerable to allergic reactions. 2. The child is more prone to aspiration. 3. Airways are less reactive than those of an adult. 4. Airways are less prone to obstruction in the child. 5. Airways are smaller, with resulting resistance as air moves through the airway.
The nurse describes a patient as "morbidly obese" because, with a weight of 387 pounds and a height of 2 meters, the patient's body mass index (BMI) is:
1. 218.7. 2. 130. 3. 92.6. 4. 87.5.
The nurse has been monitoring the patient's
progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication. Which phase of the nurs-ing process do these actions illustrate? a. Nursing diagnosis b. Planning c. Implementation d. Evaluation
A patient is receiving preoperative instructions from the nurse. The patient has chronic pain and has been taking aspirin on a routine basis. The nurse knows which potential postoperative complication could occur?
1. Blood clots 2. Pneumonia 3. Poor wound healing 4. Bleeding