You are on scene with a patient who is not answering questions. What is a sign that this patient may have a hearing problem?
A) The patient has unreactive pupils.
B) The patient shows signs of mental retardation.
C) The patient is unresponsive.
D) The patient is watching your lips.
Answer: D) The patient is watching your lips.
You might also like to view...
Which of the following nurses is the leader in nursing history who is credited with founding public health nursing?
1. Lavinia Dock 2. Margaret Sanger 3. Lillian Wald 4. Clara Barton
The nurse is reviewing the common mild reactions to medications with a client, including: Standard Text: Select all that apply
1. Urticaria. 2. Pruritus. 3. Lacrimal tearing. 4. Anaphylaxis. 5. Gastroenteritis.
The nurse is caring for a patient who sustained rib fractures after hitting the steering wheel of his car. The patient is spontaneously breathing and receiving oxygen via a face mask; the oxygen saturation is 95%
During the nurse's assessment, the oxygen saturation drops to 80%. The patient's blood pressure has dropped from 128/76 mm Hg to 84/60 mm Hg. The nurse assesses that breath sounds are absent throughout the left lung fields. The nurse notifies the physician and anticipates: a. administration of lactated Ringer's solution (1 L) wide open. b. chest x-ray study to determine the etiology of the symptoms. c. endotracheal intubation and mechanical ventilation. d. needle thoracostomy and chest tube insertion.
The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
a. Place a warm moist pack on the scrotal area. b. Instruct the adolescent to lie down and elevate the legs. c. Refer the adolescent for immediate medical evaluation. d. Suggest that the adolescent wear a scrotum-protecting guard.