The nurse documents episodes of echolalia when, after the nurse has asked a catatonic patient, "Where is your hat?" the patient:
a. excitedly says, "Hat, cat, rat, fat, scat, splat!"
b. begins to cry and says, "I had a hat when my mother drove her yellow car."
c. repeatedly says, "Your hat, your hat, your hat."
d. places his hands on his head, saying, "Where is your hat?"
D
Echolalia is the repetition of words spoken to the patient by another person.
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When caring for a young child with a deep cut to the knee and an elderly client with a burn, the nurse anticipates which of the following related to skin healing?
1. Both clients will heal at the same rate because the child's wound is deep. 2. The young client's wound will heal more slowly due to increased risk of infection. 3. The child's wound will heal faster due to rapid cell division. 4. The wounds will heal at the same rate because both clients have similar risk factors.
A friend tells you that he has been diagnosed with a building-related illness. You know that he will most likely obtain relief from his symptoms:
a. immediately after leaving his building. b. never; symptoms are permanent. c. one to two days after leaving his building. d. weeks to months after leaving his building.
When performing a venipuncture for a specimen, the nurse should
a. select an arm in which an IV is infusing b. apply the tourniquet 3 to 4 inches above the elbow c. not palpate a distal pulse following applica-tion of the tourniquet d. select a vein that is not dilated
Preoperative patients should be turned every four hours unless instructed NOT to
True False