The client responds to a question with unrelated information during the nursing assessment. Which should the nurse implement first?
1. Ask for more detailed responses.
2. Provide more detailed commands.
3. Speak directly in front of the client.
4. Complete a neurological assessment.
3
3. The nurse wants to make sure that the client heard the question correctly, so the nurse speaks directly in front of the client to provide the optimum delivery of the question. Depending on the client's response and if the nurse uncovers a sensory deficit, cognitive impairment, or a language barrier, the nurse adjusts communication strategies for the client.
1 and 2. If the client cannot hear or understand the question, asking for more details or providing more details is not going to improve the client's hearing or understand-ing.
4. The nurse includes a neurological assessment as part of a nursing assessment. A more detailed neurological assessment can be indicated after a communication as-sessment.
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1. Database 2. Word processing 3. Graphics program 4. Spreadsheet
What is the primary mechanism of action of carbamazepine, phenytoin, and valproic acid?
A. Increasing T-type calcium currents B. Delaying the inactivation of the Na+ channels C. Increasing the influx of Ca++ ions D. Inhibiting the release of gamma-aminobutyric acid
Which items are known causative factors for seizures?(Select all that apply.)
1. Meningitis 2. Ingestion of poison 3. Hypertension 4. Hypoglycemia 5. Depression