A patient has a left temporal brain tumor. He smells an odor of ammonia prior to experiencing rapid rhythmic jerking movements. What is the odor of ammonia?
A) Chemical agent evoked by the tumor
B) An aura prior to the seizure activity
C) The metastatic process of tumor growth
D) The inhibition of serotonin and acetylcholine
B
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The nurse is caring for a patient in spinal shock. Vital signs include blood pressure 100/70 mm Hg, heart rate 70 beats/min, respirations 24 breaths/min, oxygen saturation 95% on room air, and an oral temperature of 96.8° F
Which intervention is most important for the nurse to include in the patient's plan of care? a. Administration of atropine sulfate (Atropine) b. Application of 100% oxygen via facemask c. Application of slow rewarming measures d. Infusion of IV phenylephrine (Neo-Synephrine)
A nurse is explaining advance care directives, or "living wills," to a patient and the patient's spouse. Which of the following would the nurse include in the description?
A) The document tells what treatment is to be omitted if the patient is unable to make the decision. B) It requires that the patient sign the "living will" document while an attorney is present. C) The patient's physician must act as a witness when the patient signs the document. D) An attorney draws up the papers to be given to the patient and his or her family.
The nurse is obtaining a focused head and neck interview on a client. Which should the nurse ask the client to assess their internal environment?
A. "Have you ever had irradiation to your neck?" B. "Have you been exposed to chemicals in the work place?" C. "Do you use any home remedies?" D. "Does anyone smoke in the home environment?"
Which of the following would be the least characteristic of an abused individual?
A) Guilt B) High self-esteem C) Isolation D) Entrapment