The patient sustains a minor leg abrasion and stops breathing for a few seconds during a grand mal seizure. Which is the best nursing documentation after the patient's seizure?
a. Type of muscle contractions
b. Size and description of the abrasion
c. Length of the patient's apneic episode
d. Description of the seizure in detail
D
Describing the seizure in detail is the best documentation after a seizure because it is the most comprehensive item listed and includes the type of muscle contractions observed during the sei-zure, the description of injuries, how the injuries occurred, and the description of any breathing abnormalities.
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A client who has started using contact lenses visits a health care facility with an eye infection. The nurse learns that the client also has an eye abrasion. Which of the following is the most likely reason for the eye infection?
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The nurse caring for a client with an intestinal malignancy assesses for bleeding, which would most likely be manifested by
a. abdominal discomfort. b. hematemesis. c. hematochezia. d. hypotension.
A patient in the intensive care unit is receiving Pavulon. Which of the following should the nurse assess to ensure that the patient is not accumulating the drug?
1. respiratory rate 2. deep tendon reflexes 3. urine output 4. hand grasps
Which of the following are scholarly papers that synthesize published studies and articles to answer questions about phenomena of interest?
a. Integrative reviews b. Meta-analyses c. Peer reviews d. Systematic reviews