A neurological nurse is conducting a scheduled assessment of a patient who is receiving care on the unit. The nurse is aware of the need to conduct a vigilant assessment of the patient's level of consciousness (LOC)
How should the nurse best gauge a patient's LOC?
A) By assessing according to the Glasgow Coma Scale (GCS)
B) By eliciting the patient's response to a question requiring judgment
C) By engaging the patient in a conversation, if possible
D) By observing the patient's interactions with caregivers
A
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An elderly patient has been taking zolpidem (Ambien) as a sleep aid for the past 2 months. On admission to the assisted-living facility, it is determined that the drug is no longer needed
What is an important nursing consideration concerning this drug? A) Hallucinations are common. B) The drug needs to be withdrawn gradually. C) Another anxiolytic will need to be substituted. D) Sundowning is common with withdrawal from this drug.
What is wrong with the format of this diagnostic statement: Possible Risk for Constipation related to irregular defecation habits A.M.B. statement that "When I'm busy, I can't always take the time to go to the bathroom."
1) Possible nursing diagnoses do not have signs and symptoms. 2) A nursing diagnosis is either a possible risk or a risk, not both. 3) Constipation is a medical diagnosis. 4) The etiology is actually a defining characteristic.
A client says, "What is that awful smell?" What sense is being used?
A) Olfactory B) Gustatory C) Tactile D) Auditory
Ordered: Xanax 2 mg po bid for 14 daysOn hand: See label Calculate the amount to dispense: ________. 
Fill in the blank(s) with the appropriate word(s).