When the nurse attempts to wake a client who has just closed his eyes and appears asleep, the client states he is not asleep. The stage of sleep the client is in is
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Ans: A
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A child has been diagnosed with a Wilms' tumor and is being treated with chemotherapy. Prior to administering the chemotherapy, what will the nurse monitor to determine if the child has any capability of fighting infection?
1. Hemoglobin 2. Red blood cell count 3. Platelets 4. Absolute neutrophil count (ANC)
A patient is scheduled for radiation implants. Which client statement indicates that additional teaching about the implants is necessary?
1. "I will spend some time with my grandson and my daughter, who is expecting again." 2. "I need to take good care of the skin around the radiation implant." 3. "I might feel unusually fatigued." 4. "I might have nausea and vomiting."
What care skills are safe and appropriate for the licensed practical nurse (LPN) to teach family members in the home health care setting? (Select all that apply.)
a. Insulin injection b. Sterile dressing changes c. Venipunctures d. Periodic Foley catheter insertions e. Instillation of eye drops f. Changing dressings on small wounds
The nurse is visiting the patient who has a nursing diagnosis of "Alteration in urinary elimination, retention." On assessment, the nurse anticipates that this patient will exhibit which of the following symptoms?
a. Severe flank pain and hematuria b. Pain and burning on urination c. A loss of the urge to void d. A feeling of pressure and voiding of small amounts