The nurse is evaluating the cognitive function of a patient with impaired neurologic functioning after an acute brain injury. What is the best nursing approach for evaluation of orientation to person, place, and time?
A) Ask exactly the same questions each time.
B) Ask if the patient knows where he is.
C) Vary the questions slightly each time.
D) Ask the family to corroborate information.
C
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A nurse is assessing a client who appears to be experiencing some anxiety during questioning. Which symptoms might the client demonstrate that would indicate anxiety? (Select all that apply.)
1. Fidgeting 2. Laughing inappropriately 3. Palpitations 4. Nail biting 5. Limited attention span
The nurse provides a program on self-management of diabetes for a group of senior citizens with type 2 diabetes mellitus. Which participant statement indicates that additional education is needed?
1. "I will keep some hard candy with me at all times." 2. "I will start a walking program with my neighbors." 3. "If I can't eat, I will call my doctor to see if I should take my insulin." 4. "If I start to feel nervous, sweaty, or shaky, I will lie down and take a nap."
Which of the following creatures can cause helminthiasis? Select all that apply
a. Roundworms b. Hookworms c. Tapeworms d. Lice e. Trematodes f. Pinworms g. Threadworms
The nurse is admitting a 9-year-old child with hemolytic uremic syndrome. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Hematuria b. Anorexia c. Hypertension d. Purpura e. Proteinuria f. Periorbital edema