When a client tells the clinic nurse that he has irresistible sleep attacks throughout the day lasting from 10 to 15 minutes, the nurse suspects that the client may be experiencing
A) Cataplexy
B) Narcolepsy
C) Insomnia
D) Prolonged latency
Ans: B
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A home health-care nurse sees several pediatric patients who have the nursing diagnosis of delayed growth and development. Which action by a child would indicate that outcomes have been met?
A. A 3-year-old child walks backward. B. A 4-year-old child plays video games. C. A 5-year-old child can unscrew items. D. A 7-year-old child uses scissors to cut an outline figure.
The nurse is assessing a client for symptoms of prostate cancer. Which symptoms would indicate the client is experiencing an enlarged prostate?
Select all that apply. A) Hematuria B) Dysuria C) Nerve pain D) Bone pain E) Bowel or bladder dysfunction
When using IA for FHR, nurses should be aware that
a. They can be expected to cover only two or three patients when IA is the primary method of fetal assessment. b. The best course is to use the descriptive terms associated with EFM when documenting results. c. If the heartbeat cannot be found immediately, a shift must be made to electronic monitoring. d. Ultrasound can be used to find the fetal heartbeat and reassure the mother if initial difficulty was a factor.
A client with a mechanical bowel obstruction reports that abdominal pain, which was previously intermittent and colicky, is now more constant. Which is the priority action of the nurse?
a. Measure the abdominal girth. b. Place the client in a knee-chest position. c. Medicate the client with an opioid anal-gesic. d. Assess for bowel sounds and rebound tenderness.