A patient with a concussion is evaluated in the emergency department and sent home. The family is instructed to awaken the patient from sleep hourly and assess neurologic function for the next 48 hours. What is the best rationale for this strategy?
A) Prevents additional damage to the brain
B) Dangerous deterioration can occur over 48 hours
C) Very deep sleep can result in respiratory arrest
D) Frequent reorientation to reality assists recovery
B
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A 30-year-old was diagnosed with amyotrophic lateral sclerosis (ALS). Which statement by the client would indicate a need for more teaching from the nurse?
A) "I will have progressive muscle weakness." B) "I will lose strength in my arms." C) "My children are at greater risk to develop this disease." D) "I need to remain active for as long as possible."
How might the nurse best decrease the risk of contracting HIV from an infected patient?
A) Wash hands with an antibacterial soap. B) Place patients with suspected exposure on isolation. C) Disinfect environmental surface. D) Implement standard precautions on all patients.
What recently learned information about a client who is scheduled to have surgery within the next 2 hours is the nurse certain to communicate to the surgical team?
a. An allergy to cats b. Hearing problem c. Consumption of a glass of wine 12 hours ago d. Taking 2000 mg of vitamin C each day
A parent reports to the nurse that his child is learning new words faster than he can write them in the baby book. According to Piaget, the nurse realizes that this child is in which phase?
1. Intuitive thought phase 2. Preconceptual phase 3. Concrete operations phase 4. Formal operations phase