Which neurologic test or procedure requires that the nurse check to determine whether an informed consent has been obtained from the client before the test or procedure?
A. Measurement of sensation using the pinprick method
B. Computerized tomography of the cranial vault
C. Lumbar puncture for CNS sampling
D. Venipuncture for autoantibody analysis
C
A lumbar puncture is an invasive procedure with many potentially serious complications. The other assessments or tests are considered noninvasive.
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When bathing an 80-year-old woman who lives on a farm, the nurse assesses brown macules on the patient's hands and forearms. The nurse recognizes these as _________
ANS:
In an interview with a patient who is visually impaired, it is important for the nurse to
a. speak loudly and distinctly. b. touch the patient frequently to emphasize the nurse's presence. c. use a tone of voice, volume, and inflection appropriate to the message. d. use simple phrases and closed questions.
Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin's disease?
a. Protuberant, firm abdomen b. Enlarged painless, firm cervical lymph nodes c. Soft tissue swelling d. Soft to hard, nontender mass in the pelvic area
A nurse was teaching a client how to plan his diabetic diet. The client explained that he was on the road a lot and ate in truck stops where they did not serve that kind of food
Furthermore, both his mother and father had died of diabetic complications, and he knew he would probably have the same fate. Which of the following would be the most appropriate action for the nurse? a. Explaining why the client might have to change careers and be more optimistic b. Recognizing that the client has a present time orientation and stop wasting effort on teaching him about a diet he will not follow c. Reviewing the client's priorities and see what compromises in nutrition might be possible in his job d. Trying to help the client see the importance of planning for the future