The nurse tests graphesthesia by asking the client to close the eyes and perform which activity? The client:
a. Lies supine and runs one heel along the opposite shin.
b. Identifies a familiar object placed in the hands.
c. Describes where a sensation of a vibrating tuning fork is felt.
d. Identifies a letter or number drawn in the hand.
ANS: D
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A patient with a persistent and debilitating cough is confused that his physician has prescribed codeine. He tells the nurse, "I was sure that codeine was a narcotic that people take for pain
" The nurse should cite what mechanism of action when describing this use of codeine? A) Depression of the cough center in the medulla oblongata B) Vasodilation of the alveolar capillaries C) Stimulation of the reticular activating system (RAS) D) Desensitization of the cough receptors in the sinuses and trachea
What is a common clinical manifestation of Hodgkin disease?
a. Petechiae b. Bone and joint pain c. Painful, enlarged lymph nodes d. Nontender enlargement of lymph nodes
Which of the following are the most common ways someone can avoid barriers to effective communication?
a. Match verbal and non-verbal cues. b. Convey empathy. c. Make sure all information is provided. d. Listen carefully, ask questions and providefeedback.
J.H. is a 5-week-old infant brought to the emergency department (ed) by his mother, who speaks little
english. Her husband is at work. she is young and appears frightened and anxious. Through a translator, Mrs. H. reports that J.H. has not been eating, sleeps all of the time, and is "not normal." What are some of the obstacles you need to consider, recognizing that Mrs. H. does not speak or understand English well?