The nurse caring for an adult patient on the medical unit who has a seizure will document: (Select all that apply.)
a. length of time of seizure.
b. location of initiation of seizure.
c. whether movements are unilateral or bila-teral.
d. family's reaction during the seizure.
e. presence of incontinence.
A, B, C, E
The family's reaction to the seizure is not included in documentation of a seizure. All other op-tions are significant observations to be included in the documentation of a seizure.
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A nurse who is aware of the biological variations among cultures would expect that a client with Tay-Sachs disease would most likely be of which of the following cultural heritages?
1. Jewish 2. Mexican 3. Chinese 4. African
A graduate nurse is studying for the NCLEX examination. Which of the following accurately describes a phase of the nursing process that will be tested?
A) Planning: establishing a database B) Data collection: actions necessary to achieve goals C) Implementation: setting goals for clients and designing strategies to meet them D) Evaluation: determining the extent to which goals have been achieved
The term ________ is used to describe pain in the skeletal muscles.
Fill in the blank(s) with the appropriate word(s).
What should the nurse teach a patient who is prescribed enteric-coated tablets?
A. "Do not chew or crush the tablet." B. "Place the tablet under the tongue." C. "Dissolve the tablet in water or milk." D. "Eat a high-fat meal before taking the medication."