A patient has a seizure that involves a blank stare, unresponsiveness to questions, and smacking of the lips that lasts less than a minute. How should the nurse categorize this seizure?
A. Status epilepticus
B. Partial
C. Absence
D. Tonic?clonic
Answer: C
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The student nurse asks if advance practice training is needed to lead psychoeducation groups and assist families. The instructor tells the nurse that all nurses can lead the groups as long as they:
1. Support a loss of autonomy. 2. Promote rigidity and chaos. 3. Understand family and group dynamics. 4. Isolate family members from one another.
The nurse knows that patients who are in shock have special nutritional needs; these special nutritional needs are directly related to the:
A) Use of albumin as a food source by the body because of the need for increased caloric intake B) Loss of fluids due to stress ulcers and decreased stomach acids due to increased parasympathetic activity C) Release of catecholamines that creates an increase in metabolic rate and caloric requirements D) Increase in gastrointestinal function during shock and the resulting diarrhea.
What will the nurse identify as an example of an installed forcing functions or a system level firewall to prevent errors when providing patient care?
1. Prior to administration of insulin, two nurses check the dose. 2. Prior to obtaining a medication, height, weight, and allergies are recorded. 3. All medications are checked by two nurses prior to administration. 4. Undiluted potassium chloride is not available on critical care units.
An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed with pregestational diabetes. She attends her centering appointment accompanied by one of her girlfriends
This young woman appears more concerned about how her pregnancy will affect her social life than about her recent diagnosis of diabetes. Several nursing diagnoses are applicable to assist in planning adequate care. The most appropriate diagnosis at this time is: a. Risk for injury to the fetus related to birth trauma. b. Noncompliance related to lack of understanding of diabetes and pregnancy and requirements of the treatment plan. c. Deficient knowledge related to insulin administration. d. Risk for injury to the mother related to hypoglycemia or hyperglycemia.