During the assessment, the nurse determines that the patient's Glasgow Coma Scale score is 15. What is the meaning of this number for this patient?

a. This patient is fully conscious.
b. This patient has movement but does not open the eyes or speak.
c. This patient is unable to respond to any stimuli.
d. This patient opens the eyes but does not speak or move.


ANS: A

Nursing

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A nurse is providing care for a patient who is postoperative day one following a bowel resection for the treatment of colorectal cancer. How can the nurse best exemplify the QSEN competency of quality improvement?

A) By liaising with the members of the interdisciplinary care team B) By critically appraising the outcomes of care that is provided C) By integrating the patient's preferences into the plan of care D) By documenting care in the electronic health record in a timely fashion

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The nurse is assessing the client's neck. Which finding is considered an abnormality?

1. The client's carotid arteries are visibly pulsating. 2. The neck is symmetrical. 3. The tracheal cartilage does not move when the client swallows. 4. The thyroid has no palpable nodules.

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The nurse explains to the family of a terminally ill patient that the guidelines of managed care and the application of diagnosis-related groups (DRGs) as they relate to the terminally ill cause:

a. patients to spend less time in hospitals. b. nurses to provide more care at home. c. more patients to die at home. d. patients to spend more time in long-term care facilities.

Nursing

The nurse counseling a client in the prevention of goiter would suggest an increased intake of

a. calcium. b. iodine. c. potassium. d. protein.

Nursing