The nurse assesses for which clinical manifestations in the client with suspected encephalitis?
a. Fever of 101° F (38.3° C)
b. Nausea and vomiting
c. Hypoactive deep tendon reflexes
d. Pain on flexion of the neck
D
Nuchal rigidity is associated with meningeal irritation and is frequently present in clients with encephalitis. The other manifestations are not associated with encephalitis.
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A baby is born with blood type AB. The father is type A and the mother is type B. The father asks why the baby has a blood type different from that of his parents. The nurse's answer should be based on the knowledge that:
a. Both A and B blood types are dominant. b. The baby has a mutation of the parents' blood types. c. Type A is recessive and links more easily with type B. d. Types A and B are recessive when linked together.
The Shared Governance committee is tasked with creating an approach to introduce Just Culture to the nursing staff. When creating the materials, which duties should be emphasized? (Select all that apply.)
1. Report errors 2. Support autonomy 3. Avoid risk or harm 4. Follow procedures 5. Produce an outcome
You are caring for a patient scheduled for cardiac surgery. What should your preoperatiave care include?
A) Clarify surgical procedure preoperatively B) Do not alter medication regimen preoperatively C) Save teaching material until after the surgery D) Not discuss fears with patient to avoid worsening them
The nurse explains that diabetic retinopathy, the leading cause of blindness in the United States, results when the retina
a. detaches from the inner chamber wall. b. hemorrhages and loses it ability to function. c. is deprived of oxygen. d. is obstructed by protein plaque.