You accompany A.A. as the rapid response team transfers him to the ICU. During the
transport, his seizure activity ceases. What information would you provide to the ICU nurse?
What will be an ideal response?
You would first identify yourself, then explain that A.A. has experienced prolonged seizure activity.
State that he was admitted 18 hours ago with peptic ulcer disease secondary to suspected alcohol
use, then give current VS; details of his respiratory examination findings; and what happened
during the actual seizure, including total time, body parts involved, neurologic status including
level of consciousness, and the occurrence of any incontinence of urine and stool or vomiting. You
need to detail the interventions that A.A. has undergone, including the emergency medications
administered, and review his current status, including all of A.A.'s current care needs.
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Which of the following patient(s) does the nurse identify as at risk for developing fungal infections? (Select all that apply.)
a. Obesity b. Multiple sclerosis c. Impaired mental status d. Incontinent e. Bedridden
The nurse enters the client's room and assesses that the client's affect appears sad. The client is sitting near the window, staring into the distance with a tear in the eye
The nurse approaches and places a hand on the client's shoulder asking for client thoughts. What type of emotion is the nurse projecting? A) Sympathy B) Empathy C) Ambivalence D) Pity
What is the best explanation of intuition that forms a legitimate source of knowledge in nursing?
a. It is based on knowledge thoroughly incorporated into thought but seldom articulated. b. It is based on a gift from the universe and should be honored when it arrives. c. It is never inaccurate. d. It is a revisiting of old knowledge, accompanied by deep reflection.
What does the nurse need to know when observing a chronically ill child at play?
a. Play is not important to hospitalized children. b. Children need to have structured play periods. c. Children's play is a form of communication. d. Play is to be discouraged because it tires hospitalized children.