Which symptoms should the nurse anticipate are associated with alcohol withdrawal?
A. Lethargy, constipation, light sensitivity, and weight loss
B. Anxiety, seizures, hearing loss, and alopecia
C. Tremors, anxiety, confusion, and delirium
D. Abdominal pain, chills, pupil dilation, and lethargy
Answer: C
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The nurse is assessing a child who is suspected of having Guillain-Barré syndrome. Which assessment findings would the nurse correlate as supporting this diagnosis? Select all answers that apply
A) Recent cytomegalovirus infection B) Hyperactive deep tendon reflexes C) Numbness in the lower extremities D) Sustained clonus E) Difficulty swallowing
A male patient is "relieved" to learn that he has a sexually transmitted disease and is not HIV positive. What would be an appropriate response for the nurse to make to this patient?
1. "Having a sexually transmitted infection does predispose the body to be infected with HIV if exposed to the virus." 2. "You are lucky. Not all patients have a disease that can be cured." 3. "I told you not to be concerned." 4. "You would know if you had HIV from the symptoms, which are not like those you have."
A client is admitted to the emergency room and diagnosed with urinary calculi after reporting that the symptoms have lasted for one week. Which of the following nursing diagnoses is appropriate for this client?
1. Activity Intolerance 2. Risk for Constipation 3. Imbalanced Nutrition 4. Risk for Disuse Syndrome
Which aspects of assessment have priority when a nurse interviews a rape victim in an acute setting? Select all that apply
a. Coping mechanisms the patient is using b. The patient's previous sexual experiences c. The patient's history of sexually transmitted diseases d. Signs and symptoms of emotional and physical trauma e. Adequacy and availability of the patient's support system