What are the major symptoms of narcolepsy? (Select all that apply.)
a. Amnesia for events occurring after narcolepsy
b. One-sided seizure activity
c. Cataplexy
d. Total paralysis at beginning or end of sleep
e. Incontinence of urine
f. Frequently waking up at night
g. Colorful hallucinations
h. Loss of involuntary muscle tone
C, D, F
The three major symptoms of narcolepsy include sudden loss of voluntary muscle tone and ref-lexes (cataplexy), and total paralysis at the beginning or end of the sleep episode. Other symp-toms include falling asleep suddenly and frequently waking up at night.
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The parents are struggling with the idea their daughter has anorexia and comment that "she often eats large quantities of food." Which statement by the nurse best supports the diagnosis?
A) "There are many types of anorexia nervosa." B) "Cycles of self-starvation, binging, purging, and exercising are common." C) "Your daughter was probably disposing of the food, not eating it." D) "It must be difficult for you to accept the fact your daughter has an eating disorder."
Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression
Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia, and vacuum extraction was used. Based on this information the nurse would first: a. continue to monitor newborn and anticipate that molding will subside. b. inspect and document location of fontanels to complete the head assessment. c. contact the neonatologist. d. note findings as being within normal limits as a result of the strenuous birth process.
If the prescriber orders 30 mL q 1 hr of a 50% formula for an adult nutritional formula, what is the ratio of the formula to the water added?
What will be an ideal response?
An 85-year-old client is brought to the postoperative nursing care unit following a surgical procedure performed under general anesthesia. Which must the nurse keep in mind when caring for this client?
A) May have enhanced sensation to pain B) May tend to be more confused in the morning C) May exhibit an increased immune response D) May react more quickly to a medication