The nurse is caring for an adult patient with a history of seizures. In the event of a seizure, the nurse should document which information? (Select all that apply.)
a. Duration of seizure
b. Location of initiation of seizure
c. Description of movements
d. Family's reaction during the seizure
e. Presence of incontinence
A, B, C, E
The nurse should document seizure duration, location of seizure initiation, description of unila-teral or bilateral movement, and presence of incontinence. The family's reaction to the seizure is not included in documentation of a seizure.
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A nurse assesses an older client who is scratching and rubbing white ridges on the skin between the fingers and on the wrists. Which action should the nurse take?
a. Place the client in a single room. b. Administer an antihistamine. c. Assess the client's airway. d. Apply gloves to minimize friction.
An abnormally rapid rate of breathing that is seen in many disease conditions is known as ___________________
Fill in the blank(s) with correct word
The nurse is planning care for a patient with sensory alterations. The overall goal of care for this patient should be
a. improve sensory functioning c. maintain maximum patient safety b. maintain current sensory status d. improve sensory deprivation
The best definition of a spiritual need is:
A) universal belief in truth, justice, and compassion. B) expression of a person's inner being and meaning. C) a quest to discover life's meaning. D) an affirmation of life, peace, and harmony.