The nurse is preparing to perform the Rinne test on a client. The nurse would place the tuning fork at which location first?
A) Center of client's forehead
B) On the mastoid process
C) In front of the external auditory canal
D) At the base of the skull
B
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A patient's medication has been changed to clozapine (Clozaril). The nurse evaluates this patient for which life-threatening adverse effect?
A) Renal insufficiency B) Emphysema C) Neuroleptic malignant syndrome D) Cerebrovascular accident (CVA)
A 50-year-old woman is to undergo a modified radical mastectomy. The nurse knows that this procedure involves the removal of
a. all breast tissue, chest muscles, and axillary lymph nodes b. all breast tissue and axillary lymph nodes, while preserving the chest muscles c. internal breast tissue only d. the tumor and 2 to 3 centimeters of surrounding tissue
In an attempt to be sensitive to varying cultural responses to touch, before shaking a patient's hand, the nurse will
a. offer the patient his or her upturned palm. b. wait until the patient extends his or her hand. c. establish eye contact with the patient first. d. address the patient by his or her full name.
Which of the following patients is most at risk for developing a urinary tract infection?
A. 12-year-old comatose boy on a ventilator B. 48-year-old woman after abdominal surgery C. 67-year-old man with Alzheimer disease D. 58-year-old man postcardiac catheterization