What initial nursing action should be implemented when assisting a patient with dementia to dress?
a. Hand the patient her clothes and ask her to put them on.
b. Hand the patient each article of clothing separately and ask her to put it on.
c. Assist her with each article, giving specific instructions such as, "Put your arm in this hole."
d. Put the patient's clothes on without assis-tance from the patient.
C
The goal should be to maintain the highest level of functioning possible, but tasks must be broken down into individual steps to be performed one at a time.
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To assess the mental status of a 9-month-old ICU patient, the nurse could assess for
A) a Babinski reflex. B) a positive Kernig's sign. C) spontaneous arousability. D) intact cranial nerves.
Which of the following assessment findings of a newly admitted 30-year-old male client would be most likely to cause his physician to suspect polyarteritis nodosa?
A) The man's blood work indicates polycythemia (elevated red cell levels) and leukocytosis (elevated white cells). B) The man's blood pressure is 178/102, and he has abnormal liver function tests. C) The man is acutely short of breath, and his oxygen saturation is 87%. D) The man's temperature is 101.9 °F, and he is diaphoretic (heavily sweating).
The nurse manager is reviewing the importance of using technology when providing patient care. Which action should the manager take to improve the staff's acceptance of big data?
A) Place user manuals for the computer systems throughout the care area. B) Ask staff to participate in the selection of a clinical information system. C) Purchase reference materials that explain standardized nursing languages. D) Subscribe to websites that provide information on evidence-based guidelines
While answering questions posed by a nurse during a health history, a young woman says, "Before my period I get headaches, am moody, and my breasts hurt." What is the patient experiencing?
A) perimenopause B) menarche C) PMS D) menses