The nurse is assessing a patient who presented to the emergency department (ED) reporting acute onset of numbness and tingling in the right leg. How does the nurse document this subjective finding?
A.) Paraparesis
B.) Paresthesia
C.) Ataxia
D.) Quadriparesis
Answer: B.) Paresthesia
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A client complains of loss of appetite following a prolonged illness. How should the nurse document the client's condition?
A) Emaciation B) Cachexia C) Anorexia D) Nausea
The nurse is caring for a patient with early-onset dementia. What statement made by the nurse best assesses the patient's abstraction capacity?
1. "Please tell me the name of our president." 2. "Please spell the word 'world' forward and backward." 3. "Please tell me your name, the date, and where you are right now." 4. "Please tell me what the meaning is of the statement, 'A picture paints a thousand words.'"
The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is having body image problems due to the effects of chemotherapy. Which of the following interventions will best help the teen's sense of control?
A) Involving the boy in decisions whenever possible B) Acknowledging the boy's feelings of anger with the disease C) Providing realistic expectations of treatments and outcomes D) Recognizing abilities that are unaffected by the disease
The nurse is conducting an abdominal assessment. Which finding should the nurse realize is most likely related to a diagnosis of acute diverticulitis?
1. lower-right-quadrant pain 2. lower-left-quadrant pain 3. upper-middle abdominal pain 4. back pain and tenderness