Ten hours after admission to the ICU following an auto accident, a client begins to exhibit mild tachycardia, irritability, and tremors. Three hours later, the client has a grand mal seizure. The staff suspect that the client has:
A) Undetected internal bleeding.
B) Wernicke's encephalopathy.
C) Alcohol withdrawal syndrome.
D) Korsakoff's syndrome.
C
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An inpatient nursing unit uses Madeleine Leininger's theory to organize nursing care. The manager would conclude that a new nurse has successfully integrated this theory into practice when the nurse does which of the following actions?
A. Emphasizes caring over curing in nursing actions B. Establishes trusting relationships with patients C. Knows the cultural practices of many different groups D. Organizes environmental factors for the patient's benefit
When assessing a client of African-American descent for jaundice, the nurse should check the:
1. mucous membranes of the mouth. 2. sclera. 3. abdomen. 4. nail beds.
The nurse is visiting the home of a patient recovering from an acute gastrointestinal bleed. Which actions should the nurse take to limit distractions during this home visit?
Select all that apply. 1. Establishing short- and long-term goals 2. Explaining the primary goal of home care 3. Exploring the patient's and family's expectations of home care 4. Asking the patient if the television could be turned off during the visit 5. Asking the patient if the visit could be conducted in the bedroom away from small children and pets
Approximately what should a newborn weigh at 1 year of age if the newborn's birth weight was 7 pounds 6 ounces?
a. 14 3/4 pounds b. 22 1/8 pounds c. 29 1/2 pounds d. Unable to estimate weight at 1 year