The nurse assesses a client as opening eyes to pain only, making incomprehensible sounds, and moving to localized pain. The nurse would assign this client's Glasgow Coma Scale score to be:
a. 15. c. 9.
b. 12. d. 3.
ANS: C
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The student nurse is developing a teaching plan for a patient with asthma. Which teaching point has the highest priority and should be included in the plan of car the student is developing?
A) Avoid contact with fur-bearing animals B) Change filters on heating and air conditioning units frequently C) Take prescribed medications as scheduled D) Avoid goose-down pillows
Which legal doctrine cannot apply to a nurse's practice as a private duty nurse?
1. Respondeat superior 2. Personal liability 3. Res ipsa loquitur 4. Negligent cause of action
A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is
a. Seen at age 3 days b. The residue of a milk curd c. Passed in the first 12 hours of life d. Lighter in color and looser in consistency
The blood pressure of an intensive care patient was low but is now increasing to near normal level. If the patient's baroreceptors are functioning appropriately, which of the following will the nurse assess in this patient?
1. peripheral edema 2. decreased level of consciousness 3. reduced urine output 4. weak hand grasps