A nurse asks the patient to stand with feet together, arms resting at the sides, with eyes open and then with the eyes closed. Which response by the patient indicates an expected cerebellar function?
a. Sways slightly and maintains upright posture with feet together
b. Is unable to stand upright after turning around in a circle once
c. Steps sideways when standing with feet together and eyes closed
d. Has to move arms horizontally to maintain balance
ANS: A
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The nursing manager is collaborating with health-care providers to determine appropriate candidates for ventilator weaning in the pediatric intensive care unit. Which child is the best candidate?
A. Oxygen requirement: 60% B. Peak inspiratory pressure: 32 cm H2O C. Spontaneous tidal volume: 2 mL/kg D. Ventilator rate: 6 breaths/minute
A patient is receiving Coumadin for a deep vein thrombosis. The nurse should monitor this patient for which of the following skin lesions?
A) Ulcer B) Ecchymosis C) Scar D) Erosion
All of the following are distinct credentials that indicate compliance with specific standards set for accrediting home health care agencies EXCEPT
a. Occupational Safety and Health Administration (OSHA) certification b. The Joint Commission accreditation c. Medicare-certified d. state licensure
A Jewish patient delivers a healthy baby boy on Thursday afternoon, and she is set to be discharged on Saturday morning. Why might this present a problem for the patient?
1. Jewish custom is to have the infant circumcised two days after birth. 2. The woman will expect to be in the hospital at least seven days after delivery. 3. Saturday is considered the Sabbath and she will not be able to leave the hospital that day. 4. The husband cannot touch his wife while she is experiencing vaginal discharge, so he will not be able to assist his wife to and from the vehicle.