A 46-year-old patient with a head injury opens the eyes to verbal stimulation, curses when stimu-lated, and does not respond to a verbal command to move but attempts to push away a painful stimulus
The nurse records the patient's Glasgow Coma Scale score as
a. 9.
b. 11.
c. 13.
d. 15.
ANS: B
The patient has a score of 3 for eye opening, 3 for best verbal response, and 5 for best motor re-sponse.
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The frail patient asks the nurse if a bath is to be given this morning. The best reply by the nurse that would encourage independence and give the patient the most flexibility would be:
1. "Based on your room number, you get bathed on Monday, Wednesday, and Fri-day. Today is Tuesday." 2. "If you want to eat breakfast in the dining room with the others, you may sponge yourself off in your bathroom." 3. "When your daughter comes this evening, ask her if she can give you a bath then." 4. "I will bring a basin of water for a sponge off for right now. After breakfast, we will talk about a bath schedule."
The nurse notes edema in the hands and legs of an elderly hospitalized client who appears undernourished. One of the things the nurse considers is that:
1. The client has been drinking large amounts of water to prevent feelings of hunger. 2. Thyroid hormones are out of balance. 3. The kidneys are failing, causing fluid retention. 4. Lack of adequate protein is causing a fluid shift.
When nurses appreciate the belief that the client's observations may be more objective than the nurses' because they are attached to the client's past experiences and knowledge, including rich descriptions of the person's experiences of life
transitions, they are recognizing which approach to health care? a. Scientific b. Phenomenological c. Deontological d. Religious
Overweight people
A. are commonly stereotyped because of their size. B. seldom experience discrimination or insensitivity. C. are usually at fault for their size because they eat too much. D. can readily overcome prejudice and other obstacles.