Assessment of mental status reveals the client's general cerebral function. This includes which of the following?
A)
Affective and knowledge functions
B)
Cognitive and affective functions
C)
Affective and memory functions
D)
Cognitive and effective functions
B
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The nurse is teaching a client with angina pectoris about the difference between the pain of angina and the pain from a myocardial infarction. The nurse concludes that the client needs further teaching when the client states:
1. "I can take my medication for pain as often as needed until the angina pain is gone." 2. "Pain from a myocardial infarction lasts longer than angina pain does." 3. "The pain from a myocardial infarction does not go away after three doses of nitroglycerin." 4. "If I am experiencing an infarction, I will have other symptoms besides pain."
The licensed practical/vocational nurse is caring for a client from India. The client is in a large private room and requests that his family and church community join him, providing prayer, food, and fellowship
The nurse wants to provide adequate transcultural care. What should the nurse do? A) Incorporate all aspects of the person's culture in planning and providing care B) Remove any foods or remedies that may conflict with current prescribed treatments C) Avoid anything that conflicts with the nurse's values, beliefs, or customs D) Help the client understand the importance of following all of his doctor's orders
In which of the following situations would a nurse withhold the antianginal medication and contact the physician? Select all that apply
A) Heart rate above 50 bpm B) Heart rate below 50 bpm C) Systolic blood pressure below 90 mm Hg D) Diastolic blood pressure below 90 mm Hg E) Respiratory rate below 20 breaths per minute
The physician has ordered bethanechol (Urecholine), a cholinergic drug, for the patient with urinary retention. The patient also has an enlarged prostate gland. What is the priority action by the nurse?
1. Hold the drug and prepare to catheterize the patient. 2. Administer the drug and measure urinary output. 3. Administer the drug and push fluids. 4. Hold the drug and contact the physician.