The nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. What will the nurse document this condition as in the patient's chart?
A) Asterixis
B) Constructional apraxia
C) Fetor hepaticus
D) Palmar erythema
A
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When caring for a client receiving IV oxytocin infusion, the nurse observes the client has developed a pounding pulse, increased blood pressure, and moist respirations. The nurse prepares to:
a. increase the oxytocin infusion rate. c. lower the head of the client's bed. b. discontinue the client's IV access. d. decrease the oxytocin infusion rate.
It seems that I keep making the same mistakes as I did when I was younger. I am applying which premise of the clinical paradigm?
a. Mental life lies outside of conscious awareness b. Human development is an intra- and interpersonal process c. There is rationale behind every act d. How we regulate and express emotions is central to a person's identity
What will the nurse caution a patient about when providing information about the prescribed azaspirone antidepressant?
a. Risk for addiction b. Adverse effect of nausea c. Risk of injury when using machinery d. Additive effects of central nervous system (CNS) depression with alcohol
Your patient has limited range of motion of his neck, with crepitus on hyperextension. He has little pain, and there is no deviation or muscle spasm. These findings are most likely due to
a. meningitis. c. osteoarthritis. b. muscle inflammation. d. torticollis.