A client with fluctuating levels of awareness, confusion, and disturbed orientation shouts "The bugs,
they are crawling on my legs! Get them off me!" The nurse can assess this behavior as indicating
that the client is experiencing
a. aphasia.
b. dystonia.
c. tactile hallucinations.
d. mnemonic disturbance.
C
The client feels bugs crawling on her legs, even though no sensory stimulus is actually present. This
description coincides with the definition of a hallucination, a false sensory perception. Tactile
hallucinations may be part of the symptom constellation of delirium. Option A: Aphasia refers to a
speech disorder. Option B: Dystonia refers to excessive muscle tonus. Option D: Mnemonic
disturbance is associated with dementia rather than delirium.
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(Select all that apply.) a. Procedural sedation b. Surgeries of short duration c. Surgeries of long duration d. Postoperative anxiety e. Sedation of mechanically ventilated patients
Parents of a child with sickle cell anemia ask the nurse, "What happens to the hemoglobin in sickle cell anemia?" Which statement by the nurse explains the disease process?"
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What is the single most important factor to consider when communicating with children?
a. The child's physical condition b. The presence or absence of the child's parent c. The child's developmental level d. The child's nonverbal behaviors
A health care provider prescribes Kytril (granisetron), 10 mcg/kg IV every 4 to 6 hours as needed for nausea. The medication label states: "Kytril 100 mcg/1 mL." The child weighs 15 kg. The nurse prepares to administer one dose
How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.