The nurse is preparing to assess a client that had a tonic-clonic seizure. Which assessment findings should the nurse anticipate?
A. Incontinence of urine.
B. The client is in a deep sleep.
C. Confusion in relation to place and time.
D. The client reports an odd taste in the mouth.
E. The client attempts to remove their hospital gown.
Ans:
B. The client is in a deep sleep.
C. Confusion in relation to place and time.
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A nurse is found to have a chemical-dependency issue. This information is to be communicated to the:
1. State board of nursing. 2. American Nurses Association. 3. Police. 4. School of nursing from which the nurse graduated.
Which of the following is consistent with good percussion technique?
A) Allow all of the fingers to touch the chest while performing percussion. B) Maintain a stiff wrist and hand. C) Leave the plexor finger on the pleximeter after each strike. D) Strike the pleximeter over the distal interphalangeal joint.
Choose the most therapeutic response by the nurse to a new mother who verbalizes uncertainty about her ability to breast feed her new baby
a. Breast feeding a baby is best. Bottle feed-ing is only a poor substitute for women who can't produce enough milk. b. Let's try the breast feeding first and see how you do. I'll be right here to help you with the process. c. We can give him a bottle until your milk comes in and you feel more sure about your ability to breast feed. d. If you don't make up your mind right away, we'll be forced to bottle feed him.
Once an order has been transcribed to the MAR
A. the physician will verify the correctness of the order. B. the medication technician verifies the correctness of the order. C. the registered nurse verifies that the order is transcribed correctly. D. the medication can be given to the patient with no further actions.