The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and records the LOC score as 6 . What does an LOC score of 6 in a client indicate?
A) Comatose B) Somnolence C) Stupor D) Normal
A
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A nurse teaches a client who has a flaccid bladder. Which bladder training technique should the nurse teach?
a. Stroking the medial aspect of the thigh b. Valsalva maneuver c. Self-catheterization d. Frequent toileting
A "well-cultivated critical thinker" is an individual who does which of the following? (Select all that apply.)
a. Raises questions b. Recognizes alternative ways to see problems c. Uses only logic to determine relevance of information d. Implements solutions to complex problems only as an individual e. Criticizes solutions and alternatives suggested by others
A woman with polycystic ovary syndrome tells the nurse, "I hate this disease. Just look at me! I have no hair on the front of my head but I've got hair on my chin and upper lip. I don't feel like a woman anymore
" Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would most likely be a priority? A) Situational low self-esteem related to masculinization effects of the disease B) Social isolation related to feelings about appearance C) Risk for suicide related to effects of condition and fluctuating hormone levels D) Ineffective peripheral tissue perfusion related to effects of disease on vasculature
Which of the following is a consideration in the administration of immunizations?
1. Immunizations can only be administered if a child is free from any illnesses. 2. Caregivers should administer aspirin prior to the injection to prevent any side effects. 3. Children should be isolated from other children for 24 hours after receiving immunizations. 4. Caregivers should be advised that immunizations may cause a mild fever or soreness and redness at the injection site.