What assessment data would reinforce the diagnosis of temporal lobe injury in patient who experienced head trauma? Select all that apply
a. Inability to balance a checkbook
b. Uncharacteristically aggressive
c. Affect fluctuates dramatically
d. Increased interest in sexual behaviors
e. Difficulty remembering the names of family members
ANS: C, D, E
The temporal lobe is involved with memory as well as increased sexual focus and altered emotional responses. Personality and intellectual function is not centered in the temporal lobe.
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What assessment findings would the nurse expect to see in a patient who overdosed on levothyroxine (Synthroid)?
A) Nervousness, tachycardia, tremors B) Somnolence, bradycardia, paresthesia C) Hyperglycemia, hypertension, edema D) Buffalo hump, constipation, sodium loss
What study design flaw may lead to a failure to achieve statistical significance?
A) Variables precisely defined B) Adequate exposure to the intervention C) Small sample size D) Cross-sectional data collection
A neonate is being fed 20 mL every 3 hours by orogastric gavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. The nurse should:
1. Withhold the feeding and notify the physician. 2. Replace the residual and continue with the full feeding. 3. Replace the residual, but only give 5 mL of the feeding. 4. Withhold the feeding and check the residual in 3 hours.
Last week, a client was advised to drink fluids, rest, and take aspirin to minimize symptoms of a head cold. Today the client calls the clinic and reports dizziness, nausea, and "a strange buzzing sound in my head." How should the nurse respond?
Standard Text: Select all that apply. 1. "Are you having difficulty hearing?" 2. "You should increase your fluid intake." 3. "Come to the clinic today." 4. "Take an additional aspirin with each dose." 5. "Are you allergic to aspirin?"