A nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for withdrawal delirium?
a. Hypotension, ataxia, hunger
b. Stupor, agitation, muscular rigidity,
c. hypotension, coarse hand tremors, aitation
d. hypertension, changes in level of consciousness, hallucinations
Answer: d. hypertension, changes in level of consciousness, hallucinations
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A nurse who works in the radiology department of a large hospital participates in the preparation and administration of numerous diagnostic examinations
Among the nurse's responsibilities is ensuring that clients are correctly prepared for their scheduled examinations. Fasting and cleansing would most likely be required for which of the following categories of examinations? A) Endoscopy B) Radiography C) Ultrasound D) Electrical graphic recordings
A nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which of the following, if exhibited in the client, would indicate hyperglycemia and warrant physician notification?
A) Polyuria B) Diaphoresis C) Hypertension D) Increased pulse rate
The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which response provides evidence of a risk factor for this condition?
A) "He has been very healthy up to now." B) "He just got over a head cold with laryngitis." C) "My child is 18 months old." D) "My child has not been sick at all."
Which statement, made by the client, would indicate a "me-centered" self-concept?
A) "The world has always been against people like me." B) "I couldn't stand to disappoint my parents." C) "My future is based on the decisions I make today." D) "My sister is so much smarter than I am."