A nurse is caring for a 12-year-old client who has had multiple seizure attacks since she
was 5 years old. What measure should the nurse employ when the client is having a
seizure?
A) Put something in the mouth to keep it open
B) Observe for a flushing of the skin
C) Elevate the head of the bed to 45 degrees
D) Place a soft pad beneath the client's head
D
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What should the nurse closely assess in a child receiving a transfusion?
a. Fever b. Lethargy c. Jaundice d. Bradycardia
The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
a. "I'll check to see if you can have anything." b. "Let me give you a backrub and see if it helps." c. "I believe you are in pain." d. "When was your last medication for pain?"
The nurse observes that a client has a deep, irregularly shaped area of skin loss extending into the dermis on the lower extremity. How should the nurse document this finding?
1. Fissure. 2. Ulcer. 3. Wheal. 4. Macule.
Predisposing factors for diabetes include
A. chemical exposure. B. pollution. C. obesity. D. smoking.