A patient, who was in a coma for one week after surgery, tells the nurse that he cannot remember where he lives or what he did for a living. Which of the following does this information suggest to the nurse?
1. learning deficit
2. impaired cognition
3. emotional instability
4. pending brain death
2
Rationale: The outcomes of coma include full recovery with no long-term residual effects, recovery with residual damage that may include learning deficits, emotional instability, or impaired cognition/judgment. More severe outcomes include persistent vegetative state or brain death. The patient is unable to remember his home address or what he did for a living which implies impairment with cognition. This finding does not suggest a learning deficit, emotional instability, or pending brain death.
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a. Pharmacological treatment b. Surgical interventions available c. Patient education d. Reduction of aerobic exercise
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To diagnose a patient with binge eating, a binge is defined as occurring at least:
A. Once a week for 3 months. B. Twice a week for 6 months C. Three times a week for 3 months D. None of the above
Which step in the nursing process involves measuring if the goals set in the planning step were met?
a. Assessment b. Planning c. Implementation d. Evaluation