The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. How are these results reported?

a. As a sum of the scores of the four categories
b. As part of the Glasgow coma scale
c. As individual scores in each category
d. As progressive scores during a 24-hour period


ANS: C
The FOUR score coma scale assesses the patient in four categories: eye response, brainstem reflexes, motor response, and respiration. The scores are reported as individual scores in each category. It is frequently done in conjunction with the Glasgow coma scale, not part of it.

Nursing

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A nurse is said to experience burnout when:

a. adaptive energy sources are at their peak. b. material and technological resources are scarce. c. physical and emotional exhaustion occur. d. tension and anxiety occur.

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Which symptom would the nurse expect in a patient diagnosed with dissociative fugue?

a. Worry about having a serious disease b. A feeling of detachment from one's body c. Belief that part of the body is ugly or disproportionate d. Travel away from home and assumption of a new identity

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A 7-year-old child is to begin taking methylphenidate (Ritalin SR) twice daily. The nurse should teach the parents to monitor the child closely for which of the following side effects of methylphenidate?

a. Insomnia b. Lethargy c. Increased appetite d. Urticaria

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The nurse is caring for a patient with a seizure disorder who is scheduled for surgery to remove the epileptogenic focus within the cerebral cortex. Which criteria did the patient meet to be a candidate for this type of surgery? Select all that apply.

A. The patient is unable to hold a fulltime job because of seizure activity. B. There is one focal point located within the patient's brain. C. The patient cannot afford antiseizure medication prescribed. D. The patient desires to have a family. E. Medications have not been successful to control seizure activity.

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