The nurse is caring for a patient who has a seizure disorder. The nurse notes that the patient has reddened gums that bleed when oral care is given. The nurse recognizes this finding as
a. an adverse effect of the phenytoin.
b. a drug interaction with aspirin.
c. a symptom of hepatotoxicity.
d. a sign of poor self-care.
ANS: A
Hydantoins commonly cause gingival hyperplasia, which causes overgrowth of reddened gum tissue that bleeds easily. It is not a sign of a drug interaction or a symptom of hepatotoxicity. It does not indicate a lack of self-care.
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The nurses in a nursing home have a unique nursing team consisting of all four generational cohorts. Which is the best use of each generation's contributions by nursing management?
A) The contributions from each generation's strengths B) Those of the hardworking, loyal veterans C) Those of the adaptable, techno-savvy Generation Xers D) Those of the young, optimistic Millennials
A 40-year-old Asian woman lowers her eyes as the nurse is talking with her. The nurse realizes that this is a nonverbal component of communication that is termed:
a. active listening. b. kinesics. c. proxemics. d. visual aphasia.
The administrator of a large, physician practice is planning to assist with accessing data for the current patient population. What should the administrator expect if the interoperability of the network is classified as being a pilot?
A) Has no or low adoption B) Has not been broadly tested C) Some entities are using the network in a testing or production environment D) Requires additional specification by the standards-development community
The client's nursing diagnosis is "Impaired physical mobility manifested by paralysis of both lower extremities.". Which is the best intervention for the nurse to use to place the client in semi-Fowler's position?
1. Help the client push up in bed by bending the client's knees. 2. Raise head of the bed to 45 degrees and pull client to head of bed. 3. Roll the client to one side using pillows to support the client's back. 4. Pull the client to head of the bed and then, raise the head of the bed.