While obtaining a symptom analysis from a patient who had a transient ischemic attack, the nurse helps the patient distinguish between dizziness and vertigo. Which description by the patient indicates dizziness?
a. "I felt lightheaded when I stood up."
b. "It felt like I was on a merry-go-round."
c. "The room seemed to be spinning around."
d. "My body felt like it was revolving and could not stop."
ANS: A
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A child with thalassemia major receives blood transfusions frequently. What is a complication of repeated blood transfusions?
a. Hemarthrosis b. Hematuria c. Hemoptysis d. Hemosiderosis
The patient is being supported with a positive-pressure mechanical ventilator. The machine in use is a volume-cycled ventilator. Relative to the functioning of this ventilator, what nursing assessment is most important?
A) Continuous pulse oximetry B) Vital signs per unit protocol C) Respiratory rate D) Peak inspiratory pressure
After establishing a no-harm contract with the client, the nurse should:
a. Begin to assess client risk factors. b. Continue to maintain close observation. c. Decrease observation activity to allow client autonomy. d. Begin treatment with antidepressants.
The physician has informed the parents that the results of a hemoglobin electrophoresis performed on their child indicate the presence of hemoglobin S. When the parent asks what this means, the nurse should explain that:
1. "Hemoglobin S is a type of immature red blood cell." 2. "It verifies the presence of hemolytic anemia." 3. "It is indicative of sickle-cell disease or trait." 4. "Hemoglobin S is found in people with pernicious anemia."