The nurse is aware that when Korsakoff's syndrome is suspected from behavioral cues, the syndrome can be confirmed by:
a. liver biopsy.
b. brain scan.
c. magnetic resonance imaging.
d. spinal tap.
B
The individual with Korsakoff's syndrome has grossly impaired memory and gait disturbance. Confabulation (making up stories) frequently is seen as an attempt to communicate. A brain scan will show brain atrophy; currently there is no treatment to reverse the condition.
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The nurse knows that auscultation of fine crackles would most likely be noticed in:
a. A healthy 5-year-old child. b. A pregnant woman. c. The immediate newborn period. d. Association with a pneumothorax.
The novice nurse working on a medical-surgical unit is preparing a plan of care for a client admitted for irritable bowel syndrome. The goal statement is, "The client will resume normal bowel elimination patterns."
When reviewing the plan of care with the novice nurse, which statement by the preceptor is the most appropriate? 1. "This plan of care has an appropriate goal statement which meets criteria." 2. "This goal statement requires a time frame to be appropriate." 3. "This goal statement is not reflective of the client's admitting diagnosis." 4. "This care plan is accurate and will be placed in the client's medical record."
One component of a research problem statement entails a description of the scope of the problem
A) True B) False
A client just experienced an episode of reflux with regurgitation. What assessment by the nurse is the priority?
a. Auscultate the lungs for crackles. b. Inspect the oral cavity. c. Check the oxygen saturation. d. Teach the client to sleep sitting up.