Which of the following brief screening measures is useful in assessing memory?
A) Three-item recall
B) Serial 7s
C) Spelling “world” backward
D) Copying intersecting pentagrams
A) Three-item recall
If the patient is unable to remember three items after 1 minute has passed, then this is a positive screening test and indicates a need for further testing. This is part of the “10-Minute Geriatric Screener.”
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A client is in the hospital and receiving IV antibiotics. When the nurse answers the client's call light, the client presents an appearance as shown below:
What action by the nurse takes priority? a. Administer epinephrine 1:1000, 0.3 mg IV push immediately. b. Apply oxygen by facemask at 100% and a pulse oximeter. c. Ensure a patent airway while calling the Rapid Response Team. d. Reassure the client that these manifestations will go away.
Following a cystoscopy of the bladder the nurse provides the following teaching:
A) "Taking a sitz bath may help to ease discomfort." B) "Contact your physician if you experience burning with urination." C) "It is not unusual to have chills and a fever for a few days." D) "Avoid taking any laxatives or straining with defecation."
When rewarming a patient who arrived in the emergency department (ED) with a temperature of 87° F (30.6° C), which assessment indicates that the nurse should discontinue active rewarming?
a. The patient begins to shiver. b. The BP decreases to 86/42 mm Hg. c. The patient develops atrial fibrillation. d. The core temperature is 94° F (34.4° C).
The nurse is caring for a patient diagnosed with essential hypertension. The physician orders blood pressure medication that the nurse administers
The nurse then monitors the patient's blood pressure for several days to help determine the effectiveness of the administration. In doing so, the nurse evaluates which of the following system components? a. Input b. Output c. Feedback d. Content