Which is the correct order in which to assess level of arousal?
1) Visual, auditory, and then tactile stimuli
2) Tactile, visual, and then painful stimuli
3) Auditory, tactile, and then painful stimuli
4) Painful, visual, and then auditory stimuli
ANS: 3
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Which parent statement shows understanding of the cause of the child's genetic condition in such a way that the nurse can document that no further teaching about the cause is needed?
1. "I was angry on the day he was conceived; that is why he got this sickness." 2. "My nephews had chickenpox in my seventh month of pregnancy with my son, so that is how he got this way." 3. "My child has this disease because the code in the genes just changed, and it is no one's fault." 4. "Our child is like this because I sunbathed too much during the pregnancy when I carried him."
A client, who has sustained burns to the anterior chest and upper extremities, is brought to the burn center. During the initial stage of assessment, which nursing diagnosis is primary?
A) Risk for Impaired Gas Exchange B) Acute Pain C) Risk for Infection D) Alteration in Tissue Perfusion
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?
a. The patient's serum creatinine level is elevated. b. The patient complains of intermittent chest pressure. c. The patient's extremities are cool and pulses are weak. d. The patient has bilateral crackles throughout lung fields.
The partner of a client at 16 weeks' gestation accompanies her to the clinic. The partner tells the nurse that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions
Which statement would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy." 2. "My husband had no problem with this. What was your childhood like?" 3. "You might need professional psychological counseling. Ask your physician." 4. "Many men feel this way. Feeling the baby move in a few weeks will help make it real to you."