The nurse is observing a child admitted with a seizure disorder. Which observation would the nurse most likely note in the tonic stage of the seizure?
A) The child is sleeping soundly
B) The child stares off
C) The child becomes cyanotic
D) The child is confused
Ans: C
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An HIV-infected patient asks, "Why do you have to wear gloves to dress the wound on my foot? I thought blood was the only thing you had to be careful with." Which represents what the nurse will tell the patient?
a. "I don't know; I just put them on." b. "Everyone wears gloves in the hospital." c. "Your wound is draining clear fluid." d. "I don't know; the wound is dry."
A new patient has been admitted to your unit. The patient's laboratory data has been posted in the computer and the nurse is reviewing the data. The nurse recognizes the patient has a bacteriuria when the bacteria count in the urine exceeds:
A) 102 colonies/mL of clean-catch midstream urine B) 103 colonies/mL of clean-catch midstream urine C) 104 colonies/mL of clean-catch midstream urine D) 105 colonies/mL of clean-catch midstream urine
An elderly patient says he can't communicate with his 15-year-old grandson. The nurse realizes this patient is describing
a. noncompliance c. situational role tran-sition b. nonadherence d. value incongruence
Which information suggests that caution is necessary when a health-care provider is prescribing a benzodiazepine to an anxious client?
A) The client has a history of alcohol dependence. B) The client has a history of diabetes mellitus. C) The client has a history of schizophrenia. D) The client has a history of hypertension.