A patient with a seizure disorder asks the nurse why bright spots are always seen before experiencing a seizure. What is the nurse's best response?
a. "Some people experience a strange sensation called an aura before each seizure."
b. "This is an unusual occurrence. I will notify your prescriber right away."
c. "Bright spots before a seizure could indicate pressure in your brain from a tumor."
d. "After the seizure do you feel confused, lethargic, and unable to respond to people?"
A
Before a seizure, some people experience an aura, which is a strange sensation. It can be an odor, sound, taste, or visual sensation such as bright spots or flashes. It is a common occurrence and not an indicator of tumors or pressure in the brain. Confusion, lethargy, and an inability to re-spond are common for the postictal phase of a seizure, but asking about these symptoms does not address the patient's question.
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A nurse is providing health teaching to a middle-aged male-to-female (MtF) client who has undergone gender reassignment surgery. What information is most important to this client?
a. "Be sure to have an annual prostate examination." b. "Continue your normal health screenings." c. "Try to avoid being around people who are ill." d. "You should have an annual flu vaccination."
A 5-year-old child is hospitalized with osteomyelitis and will be going home in the next few days on intravenous (IV) antibiotics. Which action by the nurse is the most appropriate?
A. Ensure that a valid permit for a PICC line is on the chart. B. Locate a pharmacy that will supply the IV medications. C. Research the patient's insurance for home infusion coverage. D. Teach the child about a PICC line using a doll.
The nurse talks to the nurse manager to suggest making changes to the way a procedure is performed, and the manager asks if this change is evidence-based. What does the manager mean by evidence-based?
1. Research findings or other reliable evidence show that the change is appropriate. 2. Another facility is doing it in the manner proposed by the nurse. 3. The nurse performed the procedure the suggested way while in nursing school. 4. Several nurses discussed the new way to perform the procedure and agree it would be better.
Which of the following statements regarding the International Classification of Diseases (ICD) system codes is true? The ICD codes:
a. allow for a limited listing of the rarer clinical diagnoses b. describe clinical symptoms specific to the client c. can be evaluated by a computer for epidemiological analysis d. are expressed by two whole numbers and three decimal places