A person's hair is matted and tangled. What should you do?
a. Braid the person's hair.
b. Cut the person's hair.
c. Tell the nurse.
d. Shampoo the person's hair.
C
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The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 g/dL to 5 g/dL. Based on these findings, what would the nurse expect the patient to exhibit?
a. Jaundice b. Edema c. Copious urine output d. Pallor
Status epilepticus
A) may be treated with intravenous diazepam (Valium). B) is defined as two or more unprovoked seizures. C) develops in the late stages of Alzheimer's disease. D) may be mistaken for daydreaming.
The nurse is caring for a client with colon cancer and a new colostomy. The client wishes to talk with someone who had a similar experience. Which is the nurse's best response?
a. "Most people who have had a colostomy are reluctant to talk about it." b. "I will make a referral to the United Ost-omy Associations of America." c. "You can get all the information you need from the enterostomal therapist." d. "I do not think that we have any other clients with colostomies on the unit right now."
A client is admitted with the following symptoms: visual changes, muscular weakness, and numbness and tingling in the extremities. Based on theses findings, the nurse should suspect the client of having which of the following diseases?
A) myasthenia gravis B) amyotrophic lateral sclerosis C) multiple sclerosis D) Guillain-Barr syndrome