When reviewing the nursing notes from the previous shift, the nurse notices notations indicating that the client was experiencing a somnolent level of consciousness. The client's behavior would be described as:
a. "Falling asleep easily and only awakening with strong verbal stimuli"
b. "Frequently sleeping and awakening only to strong physical stimuli"
c. "Unresponsive to any verbal or painful stimuli"
d. "Having alternating periods of excitability and drowsiness"
A
Falling asleep easily and waking only to strong verbal stimuli describe the level of consciousness known as somnolent, which also can be called a state of drowsiness. Frequently sleeping and waking only to strong physical stimuli describe a stuporous state, unresponsiveness to verbal or painful stimuli is a comatose state or unconsciousness, and alternating periods of excitability and drowsiness describe a lethargic state.
You might also like to view...
The population health nurse is reviewing factors that help to identify persons who may have an elevated chance of developing a specific condition, but do not contribute to its development. What information is the nurse reviewing?
1. Tendencies. 2. Risk markers. 3. Predispositions. 4. Familial.
The nurse is meeting with a patient and says, "I would love to hear how you are feeling today." While the patient speaks, the nurse yawns, looks at her watch, and folds her arms over her chest. What do the nurse's words and actions best indicate
1. Disinterest in the patient's answers 2. Boredom with the therapy session 3. Incongruence of verbal and nonverbal communication 4. Incongruence of nonverbal communication and meta-communication
The client who is experiencing alcohol withdrawal has a temperature of 100.6° F, pulse of 112 beats/minute, and BP 180/102 mm Hg. What would the nurse anticipate doing first?
A) Encourage the client to rest. B) Administer benzodiazepine as ordered. C) Monitor for any further changes. D) Provide emotional support.
The nurse is planning care for a client recovering from injuries sustained in a gang fight. Which of the following should be included in this client's plan of care?
1. Methods to reduce anger other than force or physical violence 2. Monitor intake and output 3. Employment counseling 4. Need for adequate rest and physical activity