A client is 72 years old and has dementia of the Alzheimer's type. Her husband of 50 years is no longer able to safely care for her at home, and has her placed in a care facility
When her husband visits her, she smiles and talks about their many travels around the world. Intrigued, the nurse asks the husband to describe his travels. The husband laughs and says, "We've never been out of the States." The client's tales are an example of: A) Aphasia.
B) Delirium.
C) Confabulation.
D) Apraxia.
C
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A premature newborn is being treated for respiratory distress syndrome. The nurse teaches the parents about what adverse effect that can occur with the use of lung surfactants?
A) Kidney dysfunction B) Cardiac arrhythmias C) High fever D) Collapsed lung
A home care patient with chronic obstructive
pulmonary disease (COPD) has oral candidiasis. What additional information should you obtain from this patient? a. "How often are you using your steroid inhaler?" b. "Do you share a toothbrush with any members of your family?" c. "When was the last time your inhaler drug prescriptions were filled?" d. "Have you taken any over-the-counter drugs for a cold or flu lately?"
A parent says to the nurse, "The doctor prescribed ethosuximide (Zarontin) for my child, who has absence seizures. What does this mean?" Which response by the nurse is the most appropriate?
1. "Absence seizures are basically the same kind of seizures as grand mal, but they are less frequent." 2. "Your child's seizures manifest as a staring into space for a few seconds. Ethosuximide (Zarontin) is a good medication for this type of seizure." 3. "Explaining the types of seizure activity is complicated. Have you spoken to your doctor about it?" 4. "Are you sure your doctor prescribed ethosuximide (Zarontin)? Phenobarbital is used more frequently with children."
The obstetrician performed a vaginal examination on a client in her third trimester and gave a sudden push on the cervix. Later, the client asks the nurse what the procedure was and why it was done
The MOST appropriate response from the nurse would be: a. ballottement (fetal rebound) c. lightening (uterine reflex) b. Braxton Hicks (contractions) d. quickening (fetal movement)