The 70-year-old client is brought to the emergency department in a coma believed to be caused by a brain attack
Which of the following questions is appropriate for the nurse to ask the family to help determine whether the coma is related to a brain attack? A. How many hours does the client usually spend sleeping at night and in the day-time?
B. Did the client ever describe weakness in the lower extremities in the past few days?
C. Is there any history of seizures among the client's siblings or parents?
D. Does the client have a history of drug or alcohol use or abuse?
D
Concurrent conditions such as drug or alcohol intoxication as well as hypoxemia and metabolic disturbances can cause profound changes in LOC and must be investigated. Alcohol abuse and medication toxicity can be problematic in older adults.
You might also like to view...
The nurse acknowledges that a formal contract be legally changed if there is:
a. the development of another formal contract b. a discussion by parties involved that implied consensus c. an intervention by an official of the judicial system d. a verbal or written agreement by all involved parties
A 2-year-old boy has come to the well-child clinic with his mother for a checkup. When the nurse asks his mother whether she has any concerns, she says, "I don't know why he won't quit touching his ‘privates' all the time
I have tried sitting him in a chair, smacking his hand, and telling him no, but he continues to do this. I just don't know how to make him stop." How would you best respond to her concerns? Select all that apply. a. "Give him a little time, and he'll grow out of it. He's just too young to understand right now." b. "How often do you punish him by giving him a time-out or by using physical discipline?" c. "Physical punishment, such as smacking his hand, is not the best way to modify a child's behavior." d. "It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body."
Compare and contrast the concepts of management and leadership
What will be an ideal response?
A nurse is having a discussion with another nurse regarding the narrow therapeutic range of a particular drug. A patient has been taking this drug for 1 week. What is the most significant implication for the nurse who is caring for this patient?
a. The drug will be ineffective, because it will have difficulty reaching the minimum effective concentration. b. The patient's body will maintain therapeutic levels easily. c. The patient's kidney function may be compromised. d. The patient should be monitored carefully for toxicity.