Normal circadian rhythms can be promoted by
A) opening window blinds during daytime.
B) turning on the television.
C) turning off room lights.
D) closing the room curtain when giving care.
A
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A child has been admitted with a paraspinal Ewing's sarcoma. The nursing instructor questions the student about assessing for signs of spinal cord compression. Which manifestations does this include? (Select all that apply.)
A. Burning pain down the legs B. Difficulty with swallowing C. "Foot drop," causing a limp D. Respiratory depression E. Weakness in the hands
The nurse is performing a neurological assessment and needs to test cranial nerves. The nurse asks the client to close both eyes and report when a touch with a wisp of cotton is felt on their face
Which cranial nerve is the nurse assessing? 1. Trigeminal nerve (cranial nerve V). 2. Abducens nerve (cranial nerve VI). 3. Facial nerve (cranial nerve VII). 4. Optic nerve (cranial nerve II).
The nurse is caring for a client who had major abdominal surgery yesterday. Which assessment finding would indicate inadequate airway clearance that might be cleared with coughing and deep breathing?
1. Tachypnea with rales heard in the upper lobes and over the trachea 2. Bradypnea with wheezing heard throughout all lung fields 3. Tachypnea with wheezing heard throughout all lung fields 4. Tachypnea with rhonchi heard in the lower lobes
You are doing an admission assessment on an elderly patient newly admitted for end-stage liver disease. You must assess the patient's skin turgor. What should you remember when evaluating skin turgor?
A) Overhydration causes the skin to tent. B) Dehydration causes the skin to appear edematous and spongy. C) Inelastic skin turgor is a normal part of aging. D) Normal skin turgor is moist and boggy.