The nurse is planning the care of a patient who has been recently diagnosed with a cerebellar tumor. Due to the location of this patient's tumor, the nurse should implement measures to prevent what complication?
A) Falls
B) Audio hallucinations
C) Respiratory depression
D) Labile BP
Ans: A
Feedback:
A cerebellar tumor causes dizziness, an ataxic or staggering gait with a tendency to fall toward the side of the lesion, and marked muscle incoordination. Because of this, the patient faces a high risk of falls. Hallucinations and unstable vital signs are not closely associated with cerebellar tumors.
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A nurse uses Nightingale's theory of nursing to pattern care for patients. Which action by the nurse is most consistent with this theory?
A. Does for the patient what he or she is unable to do for self B. Focuses patient interactions on caring, healing, and wholeness C. Keeps patient's room clean and ensures good nutrition D. Incorporates culturally relevant actions in a caring encounter
A patient is admitted with heat exposure exhaustion and has a body temperature of 107°F. The patient has flushed dry skin and is not sweating. What portion of the skin or skin appendages has this situation interfered with the function of?
A) Apocrine sweat glands B) Hypodermis C) Epidermis D) Eccrine sweat glands
In a non-English-speaking patient's medical records, it is indicated that he has no family. However, a large group of people stating that they are the patient's family have just arrived to the critical care unit. What impact does this miscommunication have on the patient's care?
A. Poor decision making B. Increase the cost C. Improve the outcomes D. Enhance therapeutic communication
Which of the following would a nurse use when describing telenursing? Select all that apply
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