A homecare nurse is assessing a patient in the home. The patient had a cerebrovascular accident and has right side paralysis. After 6 weeks of rehabilitation, the patient has increasing mobility when
A) She can lift the right arm ½ inch
B) She can move the right arm with the left
C) She can chew and swallow food
D) She can smile and open her right eye
Ans: A
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The nurse is preparing to conduct a physical examination of a patient's skin. What will the nurse do to prepare the patient for this examination? (Select all that apply.)
A) Assist the patient to put on a gown. B) Provide adequate drapes. C) Use the mnemonic OLDCART as a guide. D) Wear gloves when palpating lesions. E) Use cotton balls to assess for sensation.
In some Middle Eastern and African cultures, female genital mutilation is a prerequisite for marriage
Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of her genitalia. When caring for this woman, the nurse can formulate a diagnosis with the understanding that the woman may be at risk for (select all that apply) a. Obstructed labor b. Increased signs of pain response c. Laceration d. Hemorrhage e. Infection
The nurse is to administer several medications to the client via the N/G tube. The nurse's first ac-tion is to:
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The patient is treated for muscle spasms following a spinal cord injury. What is the best outcome for this patient?
1. Patient will have stabilized vital signs. 2. Patient will have an improved self-concept. 3. Patient will sleep without pain. 4. Patient will have increased bladder tone.