The nurse should assess the motor response in a comatose client. Which of the following methods may the nurse use to assess the motor response?
A) Observing the reaction of pupils to light
B) Observing the client's response to painful stimulus
C) Using the Romberg test
D) Assessing the client's sensitivity to temperature, touch, and pain
B
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The adult dose of Keflin is 250 mg. The dose of Keflin for an infant whose BSA is 0.45 m2 is _______________
a. 112.5 mg b. 66.2 mg c. 75 mg d. 33.8 mg
The nurse is caring for the client with a history of anxiety who is experiencing chest pain, palpitations and dyspnea. Which intervention would be a priority for this client?
A) Providing educational material for the client's medical diagnosis B) Ordering a regular diet for the client C) Reassuring the client that symptoms will resolve D) Asking Respiratory Therapy to set up a mechanical ventilator
A cancer patient who has been receiving cytotoxic drugs has been having frequent sinus infections. During planning of his care, the nurse must remember that this frequency of infections is an indication of possible
a. immunotherapy. b. drug-induced immunosuppression. c. delayed hypersensitivity. d. autoimmune disorder.
The nurse is performing a postpartum assessment on a newly delivered patient. When checking the fundus, there is a gush of blood. The patient asks why that is happening. The best response is:
1. "We see this from time to time. It's not a big deal." 2. "The gush is an indication that your fundus isn't contracting." 3. "Don't worry. I'll make sure everything is fine." 4. "Blood has pooled in the vagina while you were in bed."