To assess a client's cognitive ability, the nurse uses the Mini-Mental Status Examination. Which areas would the nurse assess? Select all that apply
A) Reading comprehension
B) Calculation
C) Orientation
D) Recall
E) Language
Ans: B, C, D, E
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The Mini-Mental Status Examination assesses a client's abilities on items such as orientation, calculation, recall, and language.
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A patient is being administered phenylephrine before an ophthalmic examination. Which of the following conditions requires that phenylephrine be administered cautiously?
A) Cataract B) Hypothyroidism C) Diabetes mellitus D) Hypertension
The most important nursing intervention to assure the patency of a nasogastric tube (NG) is to:
a. Clamp nasogastric tube 30 minutes twice a day. b. Monitor NG for patency and irrigate with sterile normal saline PRN as ordered. c. Cleanse nares at least once each shift; lubricate with a petrolatum ointment. d. Administer mouth care every 24 hours.
The nurse is planning to instruct a patient who is 6 weeks pregnant about increasing the intake of milk each day. Which statement should the nurse make as the most effective health teaching measure?
A) "The fetus needs milk to build strong bones and teeth.". B) "Your future baby will benefit from a high milk intake.". C) "Milk is a rich source of calcium that is important for fetal growth.". D) "Milk will strengthen your fingernails as well as be good for the baby.".
A nurse explains that a major characteristic of delirium is
a. decline in social functions and sociability. b. gradual onset and continuing decline. c. multiple types of memory impairment. d. reduced ability to focus, sustain, or shift attention.