When admitting a patient who has been diagnosed as having confusion, the most important observation that the nurse should make is the patient's:
1. eating, drinking, and sleeping patterns.
2. behavior, orientation, memory, and sleep habits.
3. urinary and bowel elimination habits.
4. talking, walking, and sleeping patterns.
2
The first step in assessing a confusional state is to observe the patient's behavior, orientation, memory, and sleep habits.
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A mother and 1-year-old child are being seen in the well-child clinic. The mother asks the nurse for guidance in setting an appropriate bedtime for the child. She and her husband have tried several different times and can't seem to agree on the right time
Which response by the nurse is the most appropriate? A. "As long as it's consistent, it doesn't matter when bedtime is." B. "At this age, your child needs 10 to 12 hours of sleep each night." C. "Children get sleepy when warm, so dress your child heavily for bed." D. "What 'sleepy' behaviors does your child show when tired?"
The client is 3 months pregnant. The nurse recently reviewed the objectives of Healthy People 2020 regarding pregnant women
Which of the following statements by the client indicates adequate education has occurred according to the objectives? Standard Text: Select all that apply. 1. "I never got my rubella vaccination so I've been staying away from my niece who has rubella.". 2. "I stopped taking Accutane for my acne before we started trying to get pregnant.". 3. "I have been so careful about taking my insulin now that I'm pregnant.". 4. "I have just one glass of wine each evening.". 5. "I had to change to a different medication to prevent my seizures before we got pregnant.".
In the elderly population, serum creatinine is not a good reflection of renal function because:
a. lean body mass decreases parallel with the decline in renal function. b. lean body mass is increased as renal function declines. c. obese body tissue sequesters creatinine. d. blood urea nitrogen decreases in older adults.
The nurse would be aware that the condition present in a client that is a predisposing factor in development of liver abscess is
a. acute diabetes insipidus. b. alcoholic hepatitis of several months. c. bile duct obstruction with a stone. d. pancreatitis of long-standing duration.