A child with a head injury sleeps unless aroused, and when aroused responds briefly before falling back to sleep. What should the nurse chart for this child's level of consciousness?
a. Disoriented
b. Obtunded
c. Lethargic
d. Stuporous
B
Feedback
A Disoriented refers to lack of ability to recognize place or person.
B Obtunded describes an individual who sleeps unless aroused and once aroused
has limited interaction with the environment.
C An individual is lethargic when he or she awakens easily but exhibits limited
responsiveness.
D Stupor refers to requiring considerable stimulation to arouse the individual.
You might also like to view...
The client at three days postpartum has come to the maternity clinic with complaints of urinary urgency and dysuria. Which statement is most important for the nurse to make?
1. "Void into this sterile cup without touching the inside of the cup." 2. "Be sure to wipe from back to front after you have a bowel movement." 3. "Call the clinic if you develop nausea and vomiting or constipation." 4. "Decrease your fluid intake for a few days, but eat a lot of vegetables."
The nurse is assisting with the initial care and assessment of a group of patients with a massive topical toxic chemical exposure. What is the best way to decontaminate these patients?
A) Use an antidote to the chemical of exposure. B) Use an alkaline substance for an acid contaminant. C) Soap-and-water shower first for most chemicals D) Administer 100% oxygen under positive pressure.
A client was admitted after being injured in a fight outside a bar. The nurse asks, "Why were you in a bar?" This is an example of which barrier to therapeutic communication?
1. Challenging 2. Rejecting 3. Stereotyping 4. Probing
The nurse is completing a mental health assessment on a client diagnosed with schizophrenia. Which of the following is descriptive of a client's affect?
A) Apathetic B) Suspicious C) Blunted D) Hostile