Which of the following areas would the nurse include in a mental status assessment for an adult patient? Select all that apply
a. Behavior
b. Judgment
c. Knowledge
d. Reflexes
e. Appearance
A, B, C, E
The mental status assessment includes assessment of behavior, appearance, response to stimuli, speech, memory, and judgment. Normal findings include an ability to express and explain realistic thoughts with clear speech, follow directions, listen, answer questions, and recall significant past events. Assessment of reflexes is associated with a complete and in-depth neurological assessment.
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A 79-year-old woman comes to the emergency department complaining of flu-like symptoms. A diagnosis of influenza A is made, and the physician prescribes amantadine (Symmetrel)
Before the nurse gives the prescription to the patient, she should assess for which of the following? A) Diabetes mellitus B) Heart failure C) Fibromyalgia D) Rheumatoid arthritis
Which fluid or product to be infused requires a central venous access rather than a peripheral access?
A. Fresh-frozen plasma B. Parenteral nutrition formula C. Dextrose 10% in water (D10W) D. 0.9% sodium chloride (normal saline)
A patient was ordered a cephalosporin medication as a broad-spectrum antibiotic for a severe infection. What important factor does the nurse know about this medication?
a. It is not effective after penicillin use. b. It is more effective on gram-positive organisms. c. It should not be used by those allergic to penicillin. d. It is less effective in resistant organisms.
The nurse is reviewing the principles of the Affordable Care Act with a client. What information should the nurse include when discussing the act with the client?
1. Individuals will be fined if they do not have health insurance. 2. Employers must offer health insurance if they meet identified requirements. 3. Insurance can be purchased through exchanges. 4. Individuals with preexisting health conditions cannot be denied health insurance coverage. 5. Health insurance is free.