The nurse is caring for a child admitted with simple partial motor seizures. Which manifestation would likely have been seen in the child with this diagnosis?
A) The child had jerking movements in the legs and facial muscles
B) The child had shaking movements on one side of the body
C) The child was rubbing the hands and smacking the lips
D) The child was dizzy and had decreased coordination
Ans: B
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The nurse is caring for a patient newly diagnosed with a primary brain tumor. The patient asks the nurse where his or her tumor came from. What is the nurse's best response?
A) "Your tumor originated from somewhere outside the CNS from a cell just like other cells." B) "Your tumor is from the pituitary gland in origin." C) "Your tumor originated from a single cell that is genetically different from nearby cells." D) "Your tumor is from nerve tissue somewhere in your body."
Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?
A) Using auscultation technique B) Measure pH of aspirates C) Place end of tube in water and observe for bubbling D) Radiographic confirmation
An older client in a long-term care facility does not sleep much at night and prefers to stay up late reading. The client takes "power naps" during the day. How should the nurse respond to this client's plan to acquire adequate sleep?
1. "Daytime napping is a positive method to restore the missed sleep time at night." 2. "You do not need the same quantity of sleep as younger adults." 3. "If you feel like you are getting enough rest at night, a daytime nap is acceptable." 4. "There is no problem as long as the total number of hours slept per 24-hour period is at least 8."
On children, the pulse oximetry sensor is attached to the sole of a foot, palm of a hand, a toe, or an earlobe
Indicate whether the statement is true or false