Delirium poses a serious threat to a client's:
A) Dignity and safety.
B) Family relationships and roles.
C) Spirituality and religious beliefs.
D) Lifestyle and habits.
A,
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The nurse is employed in a neurologist's office, performing a history and assessment on a client experiencing hearing difficulty. The nurse is most correct to gather equipment to assess the function of which cranial nerve?
A) Cranial nerve II B) Cranial nerve VI C) Cranial nerve VIII D) Cranial nerve XI
A patient is being admitted to the intensive care unit with multiple trauma, and the nurse is reviewing and implementing the admission orders, which include the insertion of an indwelling urinary catheter
Which nursing diagnosis is a consequence of this intervention? A) Risk for Excess Fluid Volume B) Risk for Infection C) Risk for Acute Urinary Retention D) Risk for Dysfunction Gastrointestinal Motility
A patient presents for evaluation of a cough. Which of the following anatomic regions can be responsible for a cough?
A) Ophthalmologic B) Auditory C) Cardiac D) Endocrine
The nurse is aware that amputation is the absence or removal of all or part of a limb or body organ. Which of the following candidates is most at risk for amputation?
A) A homeless person with diabetes mellitus B) An elderly client who is on bed rest following a hip replacement C) A client who has advanced Parkinson's disease D) A client who runs marathons on the weekends