A 65-year-old patient who recently suffered a cerebral vascular accident is now unable to recog-nize and identify objects by touch because of injury to the sensory cortex. How should the nurse document this finding?

a. Hypomimesis
b. Agnosia
c. Dysphasia
d. Echolalia


Answer: b. Agnosia

Agnosia is the failure to recognize the form and nature of objects. Hypomimesis is a disorder of communication. Dysphasia is an impairment of comprehension of language. Echolalia is the abil-ity to repeat.

Nursing

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A nurse is talking with a client about a negative enzyme-linked immunosorbent assay (ELISA) test for human immune deficiency virus (HIV) antibodies. The test is negative and the client states "Whew! I was really worried about that result." What action by the nurse is most important?

a. Assess the client's sexual activity and patterns. b. Express happiness over the test result. c. Remind the client about safer sex practices. d. Tell the client to be retested in 3 months.

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You are caring for a client with an inoperable brain tumor. What is a major threat to this client?

A) Increased ICP B) Decreased ICP C) Hypervolemia D) Hypovolemia

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The nurse is caring for a client who has an excess amount of potassium being excreted and has a serum level of 6.2 mEq/L. What group of adrenal hormones is likely to be impacting the laboratory result?

A) Mineralocorticoids B) Glucocorticoids C) Testosterone D) Estrogen

Nursing

The nurse's technique in assessing for bleeding in a patient who has had a thyroidectomy for bleeding, would be to:

1. check his chest since he is to be positioned in high Fowler's position. 2. turn him side to side to check; he must be kept flat in bed. 3. lift up the neck dressing to see if there is any excessive bleeding. 4. check behind his neck and upper back to detect excess drainage.

Nursing