Which of these observations would be most significant when assessing the condition of a patient who has judgment impairment?
a. Repeated failure to complete work obliga-tions
b. Forgetting family members' birth dates
c. Going to church three times a week
d. Planning for retirement in 20 years
A
Inadequately dealing with business affairs indicates impaired judgment, whereas the other choices do not.
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A child is being discharged after a pacemaker insertion. Which teaching point by the nurse takes priority?
A. Any prescribed activity restrictions B. Need for a healthy balanced diet C. Schedule for pacemaker testing D. Signs of wound site infection
The infection control nurse understands that this term is used when referring to the clumping effect occurring when an antibody acts like a cross-link between two antigens?
A) Agglutination B) Cellular immune response C) Humoral response D) Phagocytic immune response
An LPN is at a community softball game observing the game when the person sitting next to her, clutches his chest and falls to the ground. The nurse begins cardiopulmonary resuscitation (CPR), and in the process, one of the ribs cracked
The client is taken by rescue squad to the hospital and survives a heart attack. What may protect the nurse from this outcome? A) The state board of nursing B) Statute of limitations C) Good Samaritan law D) Assumption of risk
A patient recovering from hip replacement surgery develops shortness of breath. Which action should the nurse take to demonstrate wisdom?
A) Apply oxygen. B) Assess the surgical site. C) Listen to breath sounds. D) Measure blood pressure.