The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?
a. 6
b. 12
c. 15
d. 24
ANS: A
A fully alert, normal person has a score of 15, whereas a score of 7 or less reflects coma on the Glasgow Coma Scale
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A defendant invokes the locality rule as justification for a lower standard of patient care. How does the locality rule support this claim?
1. The locality rule holds the professional to a standard of care in a given geographic area, rather than the national standard of care. 2. The locality rule states that hospitals in any locality must have similar brands of equipment. 3. The locality rule decreases the burden of continuing education on rural practitioners. 4. The locality rule is used in court to establish cause-in-fact, not standard of care.
A client is brought into the urgent care clinic with complaints of weakness and confusion. A finger stick reveals blood glucose of 480. What response would be most likely to help make a diagnosis?
1. The client always takes his insulin as prescribed and follows a healthy diet. 2. The client drank a bottle of beer last night before bed. 3. The client did not eat breakfast this morning because he was late for work. 4. The client has not taken insulin for the past four days because of a flu-like illness.
The Jones family has expressed an interest in being prepared for any health-related situation that should come their way. The first area the nurse should address with the family is their
A) stage of family development. B) health insurance plan and benefits. C) coping mechanisms used when under stress. D) preparation of a will and advanced directives.
The best time to schedule chest physiotherapy is:
A. After dinner B. 1 hour before bedtime C. Before exercise or baths D. Before aerosol or bronchodilator treatments