A patient experienced a period of momentary confusion, dizziness, and slurred speech but recovered in 2 hours. Which assessment in the diagnosis of this episode would be most helpful?
a. Patient's complaint of nausea
b. Blood pressure (BP) of 140/90 mm Hg
c. Patient's complaint of headache
d. Auscultation of a bruit over the carotid artery
D
A carotid bruit is evidence of a narrowing in that vessel, a symptom of a possible CVA or tran-sient ischemic attack (TIA). BP of 140/90 mm Hg, although at the high end, is considered within normal limits. Headache and nausea alone are too common to be definitive.
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When handed the consent form to sign before treatment could be given, a client looked at the nurse and said, "I'm sorry; I forgot my glasses today." Which of the following actions should be taken by the nurse?
a. Ask if the client can use a magnifying glass to better see the form b. Suggest the client bring his glasses or someone else with him to assist with the forms c. Tell the patient why the form was necessary and point to where the patient should sign d. Wonder if the patient might have difficulty with reading and therefore summarize the content of the form for the client
A client is scheduled to have an electronystagmography as part of a diagnostic workup for Ménière's disease. What question is it most important for the nurse to ask the client in preparation for this test?
A) Have you ever experienced claustrophobia or feelings of anxiety while in enclosed spaces? B) Do you currently take sedatives, tranquilizers, or antihistamines on a regular basis? C) Do you have a history of falls or problems with loss of balance? D) Do you have a history of either high or low blood pressure?
What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life?
a. Fantasy b. Grief work c. Role-playing d. Looking for a fit
A client who has undergone a fundoplication wrap for hernia repair is preparing for dis-charge. Which discharge instructions should be included in a teaching plan for this client?
A. "You should avoid taking stool softeners." B. "You may eat three normal-sized meals per day." C. "Notify your physician if you develop symptoms of a cold." D. "You may return to your former level of activity as soon as you are discharged."