The nurse is assisting with a patient's physical examination. For which of the following tests would the nurse anticipate the need to plan for patient safety?
a. Weber's test
b. Whisper test
c. Rinne's test
d. Romberg's test
ANS: D
Romberg's test, or falling test, is a simple test to assess vestibular function. If the patient has difficulty maintaining balance or loses balance, it can indicate an inner ear problem. If a fall appears likely, be prepared to support the patient to prevent injury.
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Nursing educators provide learning experiences that focus on observing and providing care for living clients such as those in a hospital setting The nursing student is aware that this type of learning is:
a. clinical learning c. group learning b. didactic learning d. staff-development learning
A patient with severe schizophrenia is seen at a community mental health center. Although he continues to attend programming at the center, he tells the nurse, "I threw away the pills because they keep me from hearing God."
Which of the following responses would be most likely to benefit this patient? a. "You need your medicines; your schizophrenia will get worse without them.". b. "Do you want to end up in the hospital again? You have to take your medicines.". c. "I noticed that with the medicine, you have been able to hold a job you wanted.". d. "I would like you to come to the medication education group each Thursday.".
A nurse is participating in the application of a fiberglass cast to a client's hand. Which of the following procedures must the nurse avoid when applying premoistened rolls of fiberglass?
A) Wash the client's skin with soap and dry it well. B) Cover the skin with a protective padding. C) Administer a pain-relief medication. D) Open all the foil packets at once.
Which statement made by a patient indicates the need for more teaching about first-line drug therapy for tuberculosis (TB)?
a. "To prevent nausea/vomiting, I have been taking my drugs at night with a small snack." b. "I have stopped taking all herbal supplements and stopped drinking beer until I finish this drug therapy." c. "Now that my symptoms have disappeared after a month of drug therapy, I can no longer infect my family." d. "Now that my symptoms have disappeared after a month of drug therapy, I can stop taking all of these drugs."