A patient admitted with seizures is diagnosed with a perforated nasal septum. The nurse realizes that this patient most likely has abused which substance?
1. Cocaine
2. Marijuana
3. Alcohol
4. Barbiturates
1
Rationale 1: Long-term intranasal use of cocaine is associated with a perforated nasal septum. Severe cocaine overdose can lead to a seizure disorder.
Rationale 2: Seizures and a perforated nasal septum are not associated with marijuana use.
Rationale 3: Seizures and a perforated nasal septum are not associated with alcohol abuse.
Rationale 4: Seizures and a perforated nasal septum are not associated with barbiturate abuse.
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The nurse assesses the patient's intravenous (IV) infusion. Which clinical indicator cues the nurse to take special precautions while infusing IV fluids?
a. Poor skin turgor b. Bilateral crackles c. Mild hypotension d. High serum sodium
You are a new nurse that is looking for your first nursing job. You are aware of some key elements to consider when choosing a first nursing job. Which is not necessarily one of those key elements?
a. patient fit c. scheduling b. work environment d. orientation options
When developing a nursing care plan for a child with atopic dermatitis who has a nursing diagnosis of risk for infection (secondary to scratching of lesions), the nurse will most likely select which of the following interventions?
a. Keep the environment warm. b. Dress the child in clothing that is light, clean, and loose. c. Teach the family to use antibacterial hand soap. d. Avoid lotions and creams.
The nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client understands the technique when the client says:
A) "I should not start by talking about the situation, because then it sounds like I'm accusing the other person." B) "Maybe I should start by describing the situation that has me upset." C) "I should first tell the other person what I'd like to be different about the situation." D) "I should begin by telling the other person what has triggered my emotion."