The nurse conducts a focused neurological assessment of the client with a seizure disorder by doing which of the following? .Select all that apply. Standard Text: Select all that apply
1. Assessing pupils for accommodation and response to light
2. Assessing general mental status
3. Checking grip strength bilaterally
4. Assessing pain status
5. Measuring visual acuity
1,2,3
Rationale: Mental status, pupil response, and grip strength all would be part of a focused neurological examination. Pain and visual acuity assessments would not be part of the exam unless the client had another problem that would affect vision or need pain assessment.
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Which statements are correct concerning vaccines and toxoids? (Select all that apply.)
a. They are biologic agents that produce active immunization. b. They are biologic agents that produce passive immunization. c. They are prepared with animal serum. d. They are considered a blood product. e. They are only used in children.
A male client, an ace professional tennis player, sprains his right ankle during a tennis match. The client is immediately rushed to the nurse, who provides him with first-aid care
Which of the following immediate combination of treatments should the nurse provide to the client? A) Heat, compression, analgesics, and exercise B) Rest, heat, compression, and elevation C) Rest, ice, compression, and elevation D) Exercise, ice, compression, and elevation
When evaluating the hydration status, the nurse observes tenting of the skin on the back of the 87-year-old client's hand when testing the skin turgor. What is the nurse's best action?
A. Notify the physician. B. Examine dependent body areas. C. Assess turgor on the client's forehead. D. Document the finding as the only action.
The nurse recognizes the characteristic of egocentrism when she hears a 4-year-old say:
a. "I am cold.". b. "The ocean is for me to wade in.". c. "I am the mighty Superman.". d. "I can jump higher than this house.".