The nurse is bathing a hospitalized client who is disoriented and believes he is in a train station. Which response by the nurse is most appropriate?

a. You wouldn't be getting a bath at the train station.
b. Let's finish your bath before the train arrives.
c. Don't you know where you are?
d. It may seem like a train station sometimes, but this is Valley Hospital.


ANS: D

Nursing

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A nurse is teaching nursing students about the use of nonproprietary names for drugs. The nurse tells them which fact about nonproprietary names?

a. They are approved by the FDA and are easy to remember. b. They are assigned by the U.S. Adopted Names Council. c. They clearly identify the drug's pharma-cologic classification. d. They imply the efficacy of the drug and are less complex.

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A band is in on a multi-city tour, and souvenir shirts are ordered from a factory. They are shipped without the size labels

The vendor must then sort them into sizes—apparently they are small, medium, large, extra-large, and extra-extra-large. What level of measurement is this? a. Nominal b. Ordinal c. Interval d. Ratio

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In caring for the postcraniotomy patient, the nurse can help reduce ICP by:

1. keeping the patient flat in bed. 2. elevating the head of the bed 30 degrees. 3. closely monitoring the IV rate. 4. turning the patient to her or his right side.

Nursing

When providing discharge instructions to a client who has had a cesarean birth, which of the following points should the nurse include?

A) Restrictions about lifting B) Deep-breathing exercises every 2 hours C) Use of pillows to elevate the buttocks D) Benefits of Sims lateral position

Nursing