Which of the following clinical assessments will test attention span?
a. Spell WORLD backward.
b. Draw a clock.
c. Say the days of the week.
d. Do arithmetic calculations.
e. Explain "a stitch in time saves nine.".
A, C, D
Clinical assessments to test attention span include spell WORLD backward, say the days of the week, and do arithmetic calculations. Drawing a clock tests writing ability, and explaining a "stitch in time saves nine" tests abstract reasoning.
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To prevent acid–base disturbances, the ratio between carbonic acid and bicarbonate should be
a. 10 mEq of carbonic acid to 20 mEq of bicarbonate. b. 20 mEq of carbonic acid to 10 mEq of bicarbonate. c. 1 mEq of carbonic acid to 20 mEq of bicarbonate. d. 20 mEq of carbonic acid to 1 mEq of bicarbonate.
A patient has heart failure. The patient's medications include an angiotensin-converting enzyme (ACE) inhibitor, a beta blocker, and a diuretic. To keep the patient safe, the nurse should:
a. weigh the patient daily using different scales for comparison. b. monitor daily weight, comparing with the previous day's weight. c. teach that daily weights are done in hos-pitals, but not at home. d. weigh the patient at different times of the day to determine trends.
Bowel sound assessment is especially important for a postoperative patient who has had abdominal surgery as it can determine the:
a. need for a cathartic. b. return of peristalsis. c. presence of singultus. d. presence of eructation.
The nurse is caring for a patient with bipolar disorder. The patient tells the nurse, "I don't know why God gave me this disease. It is so tough to deal with this condition." What is the nurse's best response?
1. "You mentioned God. Do you have a religion that you follow?" 2. "You're right, it is tough. Try to remember that God only gives you what you can handle." 3. "You mentioned God. Is your faith something that is important to you when dealing with your illness?" 4. "You're right, it is hard to deal with your condition. Perhaps joining a support group would help you."