The nurse is caring for a stroke patient who is experiencing homonymous hemianopsia. The patient asks if he is going to have any limitations when discharged from the hospital. The nurse anticipates the patient will be restricted from what activity?
a. Ambulating independently
b. Cooking on a stove
c. Reading a book
d. Driving a vehicle
D
Homonymous hemianopsia is blindness in part of the visual field of both eyes. Driving a vehicle may be very dangerous for this patient. With proper occupational therapy, the patient should be able to ambulate independently, cook, and read.
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A client with aspiration pneumonia is diaphoretic, pale, and taking gasping breaths. Which is the priority nursing action?
A) Notify the healthcare provider. B) Complete a thorough cardiopulmonary assessment. C) Administer 10 L of oxygen per face mask. D) Reposition the client to help with breathing.
Which increases the likelihood that the performance appraisal will have a positive outcome?
A) The manager should refrain from making any positive comments about the worker's performance so as not to minimize the areas on which the worker needs to work. B) The employee who is deficient should be told he or she is doing fine. C) The employee should have some input into developing the standards or goals on which his or her performance is judged. D) The manager should cite multiple examples of all performance deficiencies so employees are clear about their shortcomings.
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.
The steps in the nursing process include:
A) Assessment, strategic planning, negotiating, implementation, and evaluation. B) History, planning, goal setting, and evaluation. C) Current medical history, past medical history, and review of systems. D) Assessment, diagnosis, planning, implementation, and evaluation.