A nurse caring for a client admitted to the intensive care unit with a stroke assesses the client's vital signs, pupils, and orientation every few minutes. The nurse is performing which type of assessment?
A) Initial assessment
B) Focused assessment
C) Time-lapsed reassessment
D) Emergency assessment
Ans: B
The nurse is performing a focused assessment to determine whether the problem still exists, and whether the status of the problem has changed. An initial or admission assessment is the initial identification of normal function, functional status, and collection of data concerning actual or potential dysfunction. Time-lapsed reassessment is performed after the initial assessment when substantial periods of time have elapsed between assessments. An emergency assessment is performed any time a physiologic, psychological, or emotional crisis occurs.
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A crackling or rubbing sound heard when the mouth is open may represent a disorder of:
1. the temporomandibular joint. 2. cranial nerve VII. 3. cranial nerve V. 4. the ear canal.
The nurse is creating a teaching pamphlet for parents with children with chronic illnesses. Which concerns should the nurse include as being important for these families? (Select all that apply.)
A) Caring for the child at home B) Reactions of other family members C) Genetic impact on future family generations D) Ability to have other children who will be well E) Payment for the child's care and living expenses
Which drug classification is indicated in treating attention-deficit disorder (ADD) and narcolepsy?
A. parasympathomimetics B. CNS stimulants C. adrenergic blocking agents D. CNS depressants