The nurse is preparing to assess a new client with a neuropsychiatric disorder. As a strategy to maintain the client's sense of self-determination, the nurse begins the mental status assessment with:
A) The health care team present.
B) The client only, for primary data.
C) An ADL demonstration.
D) Family members present.
D
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Mrs. Klein has been in a motor vehicle crash and is in the critical care unit with severe brain injury
She is comatose but when painful stimuli is applied she extends, adducts, and hyperpronates her upper extremities and has plantar flexion of the feet. This abnormal response is termed A) decorticate rigidity. B) decerebrate rigidity. C) clonic-tonic activity. D) athetosis.
Order: Furosemide 25 mg IV stat (first dose) The child weighs 44 lb. The safe dosage range is 1 mg/kg to increase gradually in 1-mg/kg increments to desired response, not to exceed 6 mg/kg. Available:
Calculate the volume to be administered for the initial dose and determine if it is a safe dosage. _______________ a. 20 mL b. 4.4 mL c. 2.5 mL d. Hold and clarify orderâ€"not safe
What are the greatest factors contributing to the resistance encountered with change?
1 . Lack of trust between the employee and the manager 2 . Lack of trust between the manager and the organization 3 . Lack of trust between the employee and the organization 4 . Lack of trust between the organization and the board of directors A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4
The nurse is admitting a patient to the unit who presented with a lower extremity fracture. What signs and symptoms best represent peroneal nerve injury?
A) Numbness and burning of the foot B) Numbness and burning of the hand C) Cyanotic toes D) Inadequate capillary refill