The results of a Rinne test show bone conduction is greater than air conduction. Which of the following would be most appropriate?
A) Complete a full hearing assessment
B) Generate a nursing diagnosis so interventions may be initiated
C) Write an initial plan of care and evaluate the results in 24-hours
D) Refer the client for further evaluation
D
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The nurse places a key in the hand of a patient and he identifies it as a penny. What term would the nurse use to describe this finding?
a. Extinction b. Astereognosis c. Graphesthesia d. Tactile discrimination
During the focused interview, the client admits to regularly abusing cocaine. Which of the following findings does the nurse expect to discover during the physical assessment of the client's nose? Standard Text: Select all that apply
1. The nurse notes that the nasal septum has perforated. 2. Temporomandibular joint pain when the client opens and closes the mouth 3. The septum is noted to be very pale in color. 4. Yeast infection of nasal mucosa and in mouth 5. Difficulty swallowing water
Which of the below is a normal two-hour postprandial blood sugar level?
a. <50 mg/dL c. >250 mg/dL b. <105 mg/dL d. > 400 mg/dL
When treating a pregnant client with SSRIs, the nurse should be aware that of all the SSRIs, the only specific SSRI that is listed as a category D agent (positive evidence of risk during pregnancy) is:
a. fluoxetine (Prozac) b. sertraline (Zoloft) c. paroxetine (Paxil) d. citalopram (Celexa)