Which of the following best describes patient presentation during an absence (petit mal) seizure?
A. blank staring lasting 3 to 50 seconds, accompanied by impaired level of consciousness
B. awake state with abnormal motor behavior lasting seconds
C. rigid extension of arms and legs, followed by sudden jerking movements with loss of consciousness
D. abrupt muscle contraction with autonomic signs
Answer: A. blank staring lasting 3 to 50 seconds, accompanied by impaired level of consciousness
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Several days after a CVA, a patient's family asks a nurse if tissue plasminogen activator (tPA) is a drug therapy option now
The nurse's response is based on the knowledge that this drug must be used within how many hours after the onset of symptoms? a. 3 b. 5 c. 10 d. 24
You are working with an elderly farmer from near Salisbury, Maryland. During an interaction with him, he asks you a question and you:
a. immediately respond to his inquiry, using reflection b. provide in-depth explanation to the question c. wait in silence a few moments before answering d. talk through any silences to maintain a connection
With regards to factors affecting information quality, the sufficient scope and depth of the material is defined as?
a. Balance b. Adequacy c. Currency d. Presentation and reliability
A home health nurse was making an initial visit to an elderly man. As the nurse began the assessment, the man's wife gave all of the information requested. Which of the following actions should the nurse take next?
a. Agreeing on appropriate interventions with the family b. Determining appropriate nursing diagnoses c. Assessing the environment of the wider community d. Confirming the information with the client