The nurse is caring for a patient with suspected delirium. In addition to the sudden onset of symptoms, the nurse can expect to find alterations in which functions during the assessment? (Select all that apply.)
1. Changes in gait
2. Altered vision
3. Memory
4. Motor decline
5. Consciousness
3. Memory
5. Consciousness
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Nurses must care for the abuser, as well as the abused person. You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl
You inform him that dinner is being served in the dining room. He tells you to leave and that he does not want anyone to see him or "know what I did." You respond: A. "You will need to face people sooner or later." B. "You are here for treatment of an illness, not judgment of an action." C. "I guess I wouldn't want to been seen either. You may stay here." D. "Only the staff knows the reason for your admission."
When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?
a. Fever b. White blood cell count of 8000 cells/mm3 c. Tinnitus and dizziness d. Decreased blood urea nitrogen (BUN) levels
A nurse has completed a health assessment physical examination and interview at a local health clinic. Which of the following assessment data would support the client's diagnosis of reactive arthritis? Select all that apply
1. Client reports having "food poisoning" 12 days ago. 2. Urination results in a painful sensation. 3. Conjunctiva of right eye is reddened, with a thin watery drainage. 4. Serum creatinine increasing from 0.9 to 1.1 mg/dl. 5. Serum potassium 3.5 mM.
Candice Simpson is a school nurse who helps care for Abigail, a 12-year-old girl with severe cerebral palsy who requires constant care. Abigail's mother cares for her at home, and one
morning she tearfully confided to Candice that she does not think she can continue to care for her seriously ill daughter. The most appropriate action for Candice would be to: 1. Call the local Child Protective Services. 2. Explore community resources providing respite care with the mother. 3. Inform the girl's physician. 4. Suggest activities that the family can do as a group to relieve stress. 5. Teach the mother how to manage her time more efficiently.